Ms Marisela E Elliott, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Loveland, Colorado. Her current practice location is
1433 W 29th St, Loveland, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 619-1920.
Ms Marisela E Elliott is licensed to practice in Colorado (license number CSW.09929257) 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 1336481910.
Healthcare Provider's Profile
| Full Name | Ms Marisela E Elliott |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1433 W 29th St, Loveland, Colorado |
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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: 1336481910
- Provider Enumeration Date: 03/21/2013
- Last Update Date: 05/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567826316
- Enrollment ID: I20230912001984
Medical Identifiers
Medical identifiers for Ms Marisela E Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336481910 | NPI | - | NPPES |
| 9000210999 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0002107 (Colorado) | Secondary |
| 104100000X | Social Worker | 7826-M (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09929257 (Colorado) | 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. Ms Marisela E Elliott allows following entities to bill medicare on her behalf.
| Entity Name | Integrated Insight Therapy, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124687553
PECOS PAC ID: 0042622102
Enrollment ID: O20210507000015 |
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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. Ms Marisela E Elliott 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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Ms Marisela E Elliott, LCSW, LAC
Po Box 781,
Johnstown, CO 80534-0781
Ph: (970) 209-4061 | Ms Marisela E Elliott, LCSW, LAC
1433 W 29th St,
Loveland, CO 80538-2403
Ph: (970) 619-1920 |
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