Sharice Ellenwood, is a medicare enrolled "Counselor - Professional" provider in Round Lake Beach, Illinois. Her current practice location is
1087 N Village Dr, Round Lake Beach, Illinois. You can reach out to her office (for appointments etc.) via phone at
(224) 634-1558.
Sharice Ellenwood is licensed to practice in * (Not Available) (license number ) 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 1225637614.
Healthcare Provider's Profile
Full Name | Sharice Ellenwood |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 1087 N Village Dr, Round Lake Beach, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225637614
- Provider Enumeration Date: 10/18/2020
- Last Update Date: 10/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 5698111532
- Enrollment ID: I20240313003011
Medical Identifiers
Medical identifiers for Sharice Ellenwood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225637614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | 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. Sharice Ellenwood allows following entities to bill medicare on her behalf.
Entity Name | Affective Counseling Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811400187 PECOS PAC ID: 5991158347 Enrollment ID: O20240201001402 |
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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. Sharice Ellenwood 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 |
Sharice Ellenwood, 1087 N Village Dr, Round Lake Beach, IL 60073-2493 Ph: () - | Sharice Ellenwood, 1087 N Village Dr, Round Lake Beach, IL 60073 Ph: (224) 634-1558 |
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