Melissa Ellison, is a medicare enrolled "Social Worker - Clinical" provider in Burlingame, California. Her current practice location is
1501 Trousdale Dr, Burlingame, California. You can reach out to her office (for appointments etc.) via phone at
(650) 652-8720.
Melissa Ellison is licensed to practice in California (license number LCSW82761) 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 1609252345.
Healthcare Provider's Profile
| Full Name | Melissa Ellison |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1501 Trousdale Dr, Burlingame, California |
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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: 1609252345
- Provider Enumeration Date: 08/05/2015
- Last Update Date: 06/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 2163859794
- Enrollment ID: I20200220002473
Medical Identifiers
Medical identifiers for Melissa Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609252345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW82761 (California) | 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. Melissa Ellison allows following entities to bill medicare on her behalf.
| Entity Name | Sutter Bay Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909 |
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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. Melissa 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 |
|---|
Melissa Ellison,
325 Distel Cir,
Los Altos, CA 94022-1408
Ph: (650) 652-8720 | Melissa Ellison,
1501 Trousdale Dr,
Burlingame, CA 94010-4506
Ph: (650) 652-8720 |
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