Ms Lesley Ann Ellis, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Mitchellville, Maryland. Her current practice location is
12138 Central Avenue, #662, Mitchellville, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 336-3242.
Ms Lesley Ann Ellis is licensed to practice in District Of Columbia (license number LC50078627) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629292032.
Healthcare Provider's Profile
Full Name | Ms Lesley Ann Ellis |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 12138 Central Avenue, Mitchellville, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629292032
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 02/03/2011
Medicare PECOS Information:
- PECOS PAC ID: 2163641713
- Enrollment ID: I20140915001246
Medical Identifiers
Medical identifiers for Ms Lesley Ann Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629292032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LC50078627 (District Of Columbia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Lesley Ann Ellis allows following entities to bill medicare on her behalf.
Entity Name | Thrive Behavioral Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053733378 PECOS PAC ID: 3476777947 Enrollment ID: O20140624001948 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lesley Ann Ellis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Lesley Ann Ellis, LICSW 12138 Central Avenue, #662, Mitchellville, MD 20721 Ph: (301) 336-3242 | Ms Lesley Ann Ellis, LICSW 12138 Central Avenue, #662, Mitchellville, MD 20721 Ph: (301) 336-3242 |
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