James Ellison, MFT, LADAC is a medicare enrolled "Marriage & Family Therapist" provider in Van Buren, Arkansas. His current practice location is
2705 Oak Ln, Van Buren, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 474-8084.
James Ellison is licensed to practice in Arkansas (license number M2210002) 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 1497209530.
Healthcare Provider's Profile
| Full Name | James Ellison |
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| Gender | Male |
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| Speciality | Marriage & Family Therapist |
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| Location | 2705 Oak Ln, Van Buren, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497209530
- Provider Enumeration Date: 08/05/2016
- Last Update Date: 10/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113376450
- Enrollment ID: I20231212000669
Medical Identifiers
Medical identifiers for James Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497209530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 443L (Arkansas) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00581-LC (Nevada) | Secondary |
| 106H00000X | Marriage & Family Therapist | 2637 (Nevada) | Secondary |
| 106H00000X | Marriage & Family Therapist | M2210002 (Arkansas) | 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. James Ellison allows following entities to bill medicare on his behalf.
| Entity Name | Western Arkansas Counseling & Guidance Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326040692
PECOS PAC ID: 1355326174
Enrollment ID: O20040623001595 |
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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. James Ellison 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 |
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James Ellison, MFT, LADAC
2705 Oak Ln,
Van Buren, AR 72956-4816
Ph: (479) 474-8084 | James Ellison, MFT, LADAC
2705 Oak Ln,
Van Buren, AR 72956-4816
Ph: (479) 474-8084 |
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