Evan Ely, LPCC, LICDC in Xenia, OH - Medicare Counselor Provider

Evan Ely, LPCC, LICDC is a medicare enrolled "Counselor - Professional" provider in Xenia, Ohio. His current practice location is 53 W Main St, Xenia, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 971-2350.

Evan Ely is licensed to practice in Ohio (license number E1100146) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306398854.

Contact Information

	Evan Ely, LPCC, LICDC
	53 W Main St, Xenia, OH 45385-2979
	(937) 971-2350
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evan Ely
Gender	Male
Speciality	Counselor - Professional
Location	53 W Main St, Xenia, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306398854
Provider Enumeration Date: 11/01/2016
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 7618314501
Enrollment ID: I20240327003277

Medical Identifiers

Medical identifiers for Evan Ely such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306398854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E1100146 (Ohio)	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. Evan Ely allows following entities to bill medicare on his behalf.

Entity Name	Mahajan Therapeutics, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669531810 PECOS PAC ID: 8820236524 Enrollment ID: O20160809001647

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. Evan Ely 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
Evan Ely, LPCC, LICDC Po Box 55, Walton, KY 41094-0055 Ph: () -	Evan Ely, LPCC, LICDC 53 W Main St, Xenia, OH 45385-2979 Ph: (937) 971-2350

Reviews and Comments

Counselor in Xenia, OH

Nikita Trimble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700
Nikia Tamara Johnson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 996 N Monroe Ct, Xenia, OH 45385 Phone: 937-708-8348
Robert A Leveck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-532-9306
Alan Jefferis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725
Richard Young, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-0184
Jillian Vincent, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725
Linda Mortensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 282 Stelton Rd, Xenia, OH 45385 Phone: 937-708-8348

Evan Ely, LPCC, LICDC - Medicare Counselor in Xenia, OH