Dr Kathleen Ellis, PHD, LADC, LPC in Uncasville, CT

Dr Kathleen Ellis, PHD, LADC, LPC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Uncasville, Connecticut. Her current practice location is 65 Roselund Hill Rd, Uncasville, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 848-9214.

Dr Kathleen Ellis is licensed to practice in Connecticut (license number 000903) 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 1679902316.

Contact Information

	Dr Kathleen Ellis, PHD, LADC, LPC
	65 Roselund Hill Rd, Uncasville, CT 06382-2115
	(860) 848-9214
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kathleen Ellis
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	65 Roselund Hill Rd, Uncasville, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679902316
Provider Enumeration Date: 11/04/2013
Last Update Date: 08/11/2014

Medicare PECOS Information:

PECOS PAC ID: 9739309758
Enrollment ID: I20140925000833

Medical Identifiers

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

Identifier	Type	State	Issuer
1679902316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	000903 (Connecticut)	Primary
101YP2500X	Counselor - Professional	002541 (Connecticut)	Secondary

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. Dr Kathleen Ellis allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

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. Dr Kathleen 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
Dr Kathleen Ellis, PHD, LADC, LPC 65 Roselund Hill Rd, Uncasville, CT 06382-2115 Ph: (860) 848-9214	Dr Kathleen Ellis, PHD, LADC, LPC 65 Roselund Hill Rd, Uncasville, CT 06382-2115 Ph: (860) 848-9214

Reviews and Comments

Counselor in Uncasville, CT

Ms. Angela M Massiello, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 192 Maple Ave, Uncasville, CT 06382 Phone: 860-215-1020
Mr. Peter W. Derosa, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Maple Ave, Uncasville, CT 06382 Phone: 860-848-3098 Fax: 860-848-1152
Jeffrey Slocum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 262 Route 163 Apt 2, Uncasville, CT 06382 Phone: 860-447-1717
Debra Abbey, NCC LPC ADHD-CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Gay Hill Rd, Uncasville, CT 06382 Phone: 860-256-4448

Dr Kathleen Ellis, PHD, LADC, LPC - Medicare Counselor in Uncasville, CT