Sandy S Ellis, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Buffalo, Missouri. Her current practice location is
202 N Walnut St, Buffalo, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 345-8855.
Sandy S Ellis is licensed to practice in Missouri (license number SW003530) 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 1063496560.
Healthcare Provider's Profile
Full Name | Sandy S Ellis |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 202 N Walnut St, Buffalo, Missouri |
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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: 1063496560
- Provider Enumeration Date: 11/30/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6305946849
- Enrollment ID: I20070712000342
Medical Identifiers
Medical identifiers for Sandy S Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063496560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SW003530 (Missouri) | Primary |
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. Sandy S 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 |
Sandy S Ellis, MSW, LCSW 202 N Walnut St, P.o. Box 148, Buffalo, MO 65622-7449 Ph: (417) 345-8855 | Sandy S Ellis, MSW, LCSW 202 N Walnut St, Buffalo, MO 65622-7449 Ph: (417) 345-8855 |
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