Mr Joshua Kyle Ellis, LPC in Vidalia, GA - Medicare Counselor Provider

Mr Joshua Kyle Ellis, LPC is a medicare enrolled "Counselor - Professional" provider in Vidalia, Georgia. His current practice location is 500 Jackson St, Vidalia, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 253-8003.

Mr Joshua Kyle Ellis is licensed to practice in Georgia (license number LPC008312) 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 1811376429.

Contact Information

	Mr Joshua Kyle Ellis, LPC
	500 Jackson St, Vidalia, GA 30474-4730
	(912) 253-8003
	(912) 916-0300

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Joshua Kyle Ellis
Gender	Male
Speciality	Counselor - Professional
Location	500 Jackson St, Vidalia, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811376429
Provider Enumeration Date: 05/28/2015
Last Update Date: 05/28/2015

Medicare PECOS Information:

PECOS PAC ID: 4789129636
Enrollment ID: I20240716000177

Medical Identifiers

Medical identifiers for Mr Joshua Kyle Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811376429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC008312 (Georgia)	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. Mr Joshua Kyle Ellis allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. Mr Joshua Kyle 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
Mr Joshua Kyle Ellis, LPC 500 Jackson St, Vidalia, GA 30474-4730 Ph: (912) 253-8003	Mr Joshua Kyle Ellis, LPC 500 Jackson St, Vidalia, GA 30474-4730 Ph: (912) 253-8003

Reviews and Comments

Counselor in Vidalia, GA

Mrs. Deborah Ward, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Durden St, Vidalia, GA 30474 Phone: 478-494-2314 Fax: 912-538-8186
Clifford Hamilton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2270 Ga Highway 130 W, Vidalia, GA 30474 Phone: 478-290-8710 Fax: 912-805-5241
Sarah B Kitchens, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 E 2nd St, Vidalia, GA 30474 Phone: 912-535-2128 Fax: 866-527-5349
Taylor Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Arlington Dr, Vidalia, GA 30474 Phone: 912-537-1414
Mrs. Leigh-anne White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Durden St, Vidalia, GA 30474 Phone: 912-585-5209
Carl Anthony Wardlaw, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Donovan St, Vidalia, GA 30474 Phone: 912-537-9280 Fax: 912-537-6289
Ms. Shelley Tashina Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Arlington Dr, Vidalia, GA 30474 Phone: 912-850-6526

Mr Joshua Kyle Ellis, LPC - Medicare Counselor in Vidalia, GA