Mr Paul Nathaneal Ellingsen Jr, MFT in Encinitas, CA

Mr Paul Nathaneal Ellingsen Jr, MFT is a medicare enrolled "Counselor - Mental Health" provider in Encinitas, California. His current practice location is 623 Willowspring Dr S, Encinitas, California. You can reach out to his office (for appointments etc.) via phone at (858) 736-4099.

Mr Paul Nathaneal Ellingsen Jr is licensed to practice in California (license number MFC37066) 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 1801966825.

Contact Information

	Mr Paul Nathaneal Ellingsen Jr, MFT
	623 Willowspring Dr S, Encinitas, CA 92024-4136
	(858) 736-4099
	(760) 942-9597

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Paul Nathaneal Ellingsen Jr
Gender	Male
Speciality	Counselor - Mental Health
Location	623 Willowspring Dr S, Encinitas, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801966825
Provider Enumeration Date: 11/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2769896091
Enrollment ID: I20240516000048

Medical Identifiers

Medical identifiers for Mr Paul Nathaneal Ellingsen Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801966825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MFC37066 (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. Mr Paul Nathaneal Ellingsen Jr allows following entities to bill medicare on his behalf.

Entity Name	Segal Telepsychiatry Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245529296 PECOS PAC ID: 1951564111 Enrollment ID: O20120525000350

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 Paul Nathaneal Ellingsen Jr 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 Paul Nathaneal Ellingsen Jr, MFT 623 Willowspring Dr S, Encinitas, CA 92024-4136 Ph: (858) 736-4099	Mr Paul Nathaneal Ellingsen Jr, MFT 623 Willowspring Dr S, Encinitas, CA 92024-4136 Ph: (858) 736-4099

Reviews and Comments

Counselor in Encinitas, CA

Dr. Eliah Reding, PHD, LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Coast Highway 101, Encinitas, CA 92024 Phone: 858-208-3476
Natalie Holland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 754 Saxony Rd, Encinitas, CA 92024 Phone: 714-504-8743
Dana Davis, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2047 San Elijo Avenue, Suite K, Encinitas, CA 92024 Phone: 760-815-1241
Jennifer Carter, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2339 11th St, Encinitas, CA 92024 Phone: 760-456-7462 Fax: 858-863-6936
Rebecca Graham, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Coast Highway 101, Encinitas, CA 92024 Phone: 858-771-0556
Ms. Jennifer M. Dodds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 W Glaucus St, #d, Encinitas, CA 92024 Phone: 619-306-9606
Sabiha Vahidy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1190 Encinitas Blvd, Encinitas, CA 92024 Phone: 858-247-2366

Mr Paul Nathaneal Ellingsen Jr, MFT - Medicare Counselor in Encinitas, CA