Heather Shannon Stoume Ellis, MSW, P-LCSW, LCAS, is a medicare enrolled "Social Worker - Clinical" provider in Shallotte, North Carolina. She graduated from healthcare school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Novant Medical Group Inc and her current practice location is
120 Coastal Horizons Dr, Shallotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 754-4515.
Heather Shannon Stoume Ellis is licensed to practice in North Carolina (license number C006616) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093947913.
Healthcare Provider's Profile
| Full Name | Heather Shannon Stoume Ellis |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 19 Years |
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| Location | 120 Coastal Horizons Dr, Shallotte, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Heather Shannon Stoume Ellis graduated from medical school in 2005
NPI Data:
- NPI Number: 1093947913
- Provider Enumeration Date: 08/11/2009
- Last Update Date: 08/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052443181
- Enrollment ID: I20100724000221
Medical Identifiers
Medical identifiers for Heather Shannon Stoume Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093947913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1471 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C006616 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Novant Medical Group Inc | 1153234893 | 2023 |
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. Heather Shannon Stoume Ellis allows following entities to bill medicare on her behalf.
| Entity Name | Novant Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692 |
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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. Heather Shannon Stoume 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 |
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Heather Shannon Stoume Ellis, MSW, P-LCSW, LCAS,
Po Box 60447,
Charlotte, NC 28260-0447
Ph: (910) 343-0145 | Heather Shannon Stoume Ellis, MSW, P-LCSW, LCAS,
120 Coastal Horizons Dr,
Shallotte, NC 28470-6094
Ph: (910) 754-4515 |
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