Sherry Ellis, in Los Angeles, CA - Medicare Social Worker Provider

Sherry Ellis, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is 11601 S Western Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 242-5000.

Sherry Ellis is licensed to practice in California (license number 110355) 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 1821543455.

Contact Information

	Sherry Ellis,
	11601 S Western Ave, Los Angeles, CA 90047-5006
	(323) 242-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sherry Ellis
Gender	Female
Speciality	Social Worker - Clinical
Location	11601 S Western Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821543455
Provider Enumeration Date: 08/24/2016
Last Update Date: 09/08/2022

Medicare PECOS Information:

PECOS PAC ID: 5395114607
Enrollment ID: I20221208001470

Medical Identifiers

Medical identifiers for Sherry Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821543455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	85858 (California)	Secondary
225400000X	Rehabilitation Practitioner	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	110355 (California)	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. Sherry Ellis allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Sherry 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
Sherry Ellis, 11601 S Western Ave, Los Angeles, CA 90047-5006 Ph: (323) 242-5000	Sherry Ellis, 11601 S Western Ave, Los Angeles, CA 90047-5006 Ph: (323) 242-5000

Sherry Ellis, - Medicare Counselor in Los Angeles, CA