Ellyssa Green, MSW, LCSW in South Bend, IN - Medicare Counselor Provider

Ellyssa Green, MSW, LCSW is a medicare enrolled "Counselor" provider in South Bend, Indiana. Her current practice location is 415 E Madison St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 533-1234.

Ellyssa Green is licensed to practice in * (Not Available) (license number ) 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 1811532328.

Contact Information

	Ellyssa Green, MSW, LCSW
	415 E Madison St, South Bend, IN 46617-2322
	(574) 533-1234
	(574) 537-2652

Map and Direction

Healthcare Provider's Profile

Full Name	Ellyssa Green
Gender	Female
Speciality	Counselor
Location	415 E Madison St, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811532328
Provider Enumeration Date: 11/08/2019
Last Update Date: 09/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1254786577
Enrollment ID: I20231006000216

Medical Identifiers

Medical identifiers for Ellyssa Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811532328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Ellyssa Green allows following entities to bill medicare on her behalf.

Entity Name	Oaklawn Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598847212 PECOS PAC ID: 6002801065 Enrollment ID: O20040419000647

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. Ellyssa Green 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
Ellyssa Green, MSW, LCSW 415 E Madison St, South Bend, IN 46617-2322 Ph: (574) 533-1234	Ellyssa Green, MSW, LCSW 415 E Madison St, South Bend, IN 46617-2322 Ph: (574) 533-1234

Reviews and Comments

Counselor in South Bend, IN

Breana S Bowsher, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-283-1234 Fax: 574-283-1361
Mr. Donald Alden Cronk Iii, M.S., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 E Colfax Ave, South Bend, IN 46617 Phone: 574-277-7734 Fax: 574-277-7734
Lafo Robbins, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131
Mrs. Carrie Anne Bianchini, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Lacey Barroso, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Karen Zeck, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17195 Cleveland Rd, Samaritan Counseling Center, South Bend, IN 46635 Phone: 574-277-0274 Fax: 574-271-7202
Karen Tang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652

Ellyssa Green, MSW, LCSW - Medicare Counselor in South Bend, IN