Ms Pamela Ann Ebert, LPC in Canton, OH - Medicare Counselor Provider

Ms Pamela Ann Ebert, LPC is a medicare enrolled "Counselor - Mental Health" provider in Canton, Ohio. Her current practice location is 4522 Fulton Dr Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 915-2907.

Ms Pamela Ann Ebert is licensed to practice in Ohio (license number E.1700159) 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 1467711580.

Contact Information

	Ms Pamela Ann Ebert, LPC
	4522 Fulton Dr Nw, Canton, OH 44718-2332
	(330) 915-2907
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Pamela Ann Ebert
Gender	Female
Speciality	Counselor - Mental Health
Location	4522 Fulton Dr Nw, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467711580
Provider Enumeration Date: 05/09/2012
Last Update Date: 05/01/2024

Medicare PECOS Information:

PECOS PAC ID: 0547688616
Enrollment ID: I20240306002228

Medical Identifiers

Medical identifiers for Ms Pamela Ann Ebert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467711580	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC009963 (Pennsylvania)	Secondary
101YM0800X	Counselor - Mental Health	E.1700159 (Ohio)	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 Pamela Ann Ebert allows following entities to bill medicare on her behalf.

Entity Name	Wellness Grove Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043899859 PECOS PAC ID: 5092104109 Enrollment ID: O20211111000586

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 Pamela Ann Ebert 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
Ms Pamela Ann Ebert, LPC 4200 Munson St Nw Ste A, Canton, OH 44718-2981 Ph: (330) 915-2907	Ms Pamela Ann Ebert, LPC 4522 Fulton Dr Nw, Canton, OH 44718-2332 Ph: (330) 915-2907

Reviews and Comments

Counselor in Canton, OH

Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506
Zakree Buccitelli, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907

Ms Pamela Ann Ebert, LPC - Medicare Counselor in Canton, OH