Chantalle Ellis, MA, LPCC in Bismarck, ND - Medicare Counselor Provider

Chantalle Ellis, MA, LPCC is a medicare enrolled "Counselor - Professional" provider in Bismarck, North Dakota. Her current practice location is 107 W Main Ave Ste 225, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 751-4122.

Chantalle Ellis is licensed to practice in North Dakota (license number 933-1-1-18-395) 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 1366950917.

Contact Information

	Chantalle Ellis, MA, LPCC
	107 W Main Ave Ste 225, Bismarck, ND 58501-3873
	(701) 751-4122
	(701) 751-1728

Map and Direction

Healthcare Provider's Profile

Full Name	Chantalle Ellis
Gender	Female
Speciality	Counselor - Professional
Location	107 W Main Ave Ste 225, Bismarck, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366950917
Provider Enumeration Date: 01/17/2018
Last Update Date: 10/29/2020

Medicare PECOS Information:

PECOS PAC ID: 5496198590
Enrollment ID: I20240206001526

Medical Identifiers

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

Identifier	Type	State	Issuer
1366950917	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	933-1-1-18-395 (North Dakota)	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. Chantalle Ellis allows following entities to bill medicare on her behalf.

Entity Name	Bismarck Psychological Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144670019 PECOS PAC ID: 6608162201 Enrollment ID: O20160908000551

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. Chantalle 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
Chantalle Ellis, MA, LPCC 107 W Main Ave Ste 225, Bismarck, ND 58501-3873 Ph: (701) 751-4122	Chantalle Ellis, MA, LPCC 107 W Main Ave Ste 225, Bismarck, ND 58501-3873 Ph: (701) 751-4122

Reviews and Comments

Counselor in Bismarck, ND

Victoria Ngatia, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 Burnt Boat Dr Ste 104, Bismarck, ND 58503 Phone: 701-751-1006
Sandra Bender, Counselor Medicare: Medicare Enrolled Practice Location: 1800 E Interstate Ave, Bismarck, ND 58503 Phone: 701-323-8800
Natalie Tufte, Counselor Medicare: Not Enrolled in Medicare Practice Location: 765 W Interstate Ave, Bismarck, ND 58503 Phone: 701-323-5437
Sue A Mock, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1237 W Divide Ave, Ste 5, Bismarck, ND 58501 Phone: 701-328-8763 Fax: 701-328-8900
Tara Moszer, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1237 W Divide Ave, Ste 5, Bismarck, ND 58501 Phone: 701-328-8888 Fax: 701-328-8900
Julie Ann Aman, OTR/L Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 N 11th St, Bismarck, ND 58501 Phone: 701-530-7256 Fax: 701-530-7257
Mrs. Patricia Mary Hulm, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 S 2nd St, Suite 201, Bismarck, ND 58504 Phone: 701-258-3780 Fax: 701-751-1328

Chantalle Ellis, MA, LPCC - Medicare Counselor in Bismarck, ND