Anna Ellis, MA, LADC, LPCC in Andover, MN - Medicare Counselor Provider

Anna Ellis, MA, LADC, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Andover, Minnesota. Her current practice location is 1875 Station Pkwy Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 482-9598.

Anna Ellis is licensed to practice in Minnesota (license number 3115) 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 1679232136.

Contact Information

	Anna Ellis, MA, LADC, LPCC
	1875 Station Pkwy Nw, Andover, MN 55304-3319
	(763) 482-9598
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Anna Ellis
Gender	Female
Speciality	Counselor - Mental Health
Location	1875 Station Pkwy Nw, Andover, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679232136
Provider Enumeration Date: 12/13/2021
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 1052756723
Enrollment ID: I20240304003508

Medical Identifiers

Medical identifiers for Anna Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679232136	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	305435 (Minnesota)	Secondary
101YM0800X	Counselor - Mental Health	3115 (Minnesota)	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. Anna Ellis allows following entities to bill medicare on her behalf.

Entity Name	Rum River Counseling, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073578472 PECOS PAC ID: 0941661482 Enrollment ID: O20230801001915

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. Anna 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
Anna Ellis, MA, LADC, LPCC 18205 45th Ave N Ste D, Plymouth, MN 55446-4594 Ph: () -	Anna Ellis, MA, LADC, LPCC 1875 Station Pkwy Nw, Andover, MN 55304-3319 Ph: (763) 482-9598

Reviews and Comments

Counselor in Andover, MN

Lauren Keating, LADC Counselor Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598
Gary Scott Howard, STUDENT/INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 13750 Crosstown Dr Nw, Molly Professional Center ,phase Ii #207, Andover, MN 55304 Phone: 763-755-6290
Brooke Ann Fleming, MS, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 Fax: 612-235-6447
Kellan Vencil, Counselor Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598
Amanda Christine Hohag, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598
Brian Moore, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598
Katelyn Hejna, Counselor Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 612-413-6629

Anna Ellis, MA, LADC, LPCC - Medicare Counselor in Andover, MN