Ms Ellen Lord, RN,MA,CAC-R,CCM is a
Registered Nurse - Case Management based in Charlevoix, Michigan. Ms Ellen Lord is licensed to practice in Michigan (license number 4704083965) and her current practice location is
1005 May St Ste A, Charlevoix, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 883-7738.
NPI number for Ms Ellen Lord is 1598973182 and her current mailing address is Po Box 61, 1005 May Street, Suite A, Charlevoix, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598973182.
Healthcare Provider's Profile
Full Name | Ms Ellen Lord |
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Gender | Female |
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Speciality | Registered Nurse - Case Management |
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Location | 1005 May St Ste A, Charlevoix, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598973182
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 11/09/2009
Medical Identifiers
Medical identifiers for Ms Ellen Lord such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598973182 | NPI | - | NPPES |
4704083965 | Other | MI | REGISTERED NURSE |
00131110 | Other | MI | CERTIFIED CASE MANAGER |
2-00695 | Other | MI | CERTIFIED ADDICTION COUNS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 200695 (Michigan) | Secondary |
163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 4704083965 (Michigan) | Secondary |
163WC0400X | Registered Nurse - Case Management | 4704083965 (Michigan) | Primary |
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. Ms Ellen Lord is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Ellen Lord, RN,MA,CAC-R,CCM Po Box 61, 1005 May Street, Suite A, Charlevoix, MI 49720-0061 Ph: (231) 883-7738 | Ms Ellen Lord, RN,MA,CAC-R,CCM 1005 May St Ste A, Charlevoix, MI 49720-9380 Ph: (231) 883-7738 |
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