Tiana Ellison, in Lovell, WY - Medicare Counselor Provider

Tiana Ellison, is a medicare enrolled "Counselor - Professional" provider in Lovell, Wyoming. Her current practice location is 1114 Lane 12, Lovell, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 568-2020.

Tiana Ellison is licensed to practice in Wyoming (license number LPC-1623) 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 1871984476.

Contact Information

	Tiana Ellison,
	1114 Lane 12, Lovell, WY 82431-9555
	(307) 568-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiana Ellison
Gender	Female
Speciality	Counselor - Professional
Location	1114 Lane 12, Lovell, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871984476
Provider Enumeration Date: 02/18/2015
Last Update Date: 12/21/2016

Medicare PECOS Information:

PECOS PAC ID: 1951742956
Enrollment ID: I20240508001567

Medical Identifiers

Medical identifiers for Tiana Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871984476	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PPC-873 (Wyoming)	Secondary
101YP2500X	Counselor - Professional	LPC-1623 (Wyoming)	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. Tiana Ellison allows following entities to bill medicare on her behalf.

Entity Name	Open Space Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952943961 PECOS PAC ID: 6800241993 Enrollment ID: O20231010001089

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. Tiana Ellison 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
Tiana Ellison, 116 S 3rd St, Po Box 351, Greybull, WY 82426 Ph: (307) 568-2020	Tiana Ellison, 1114 Lane 12, Lovell, WY 82431-9555 Ph: (307) 568-2020

Reviews and Comments

Counselor in Lovell, WY

Charles Joseph Cordova, LPC Counselor Medicare: Medicare Enrolled Practice Location: 730 Montana Ave, Lovell, WY 82431 Phone: 307-272-8798
Kathryn Glen Winterholler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Quebec Ave, Lovell, WY 82431 Phone: 307-431-2080
Mrs. Leah Christine Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1114 Lane 12, Lovell, WY 82431 Phone: 307-254-8108
Gerry Ryan Burton, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 E Main St, Lovell, WY 82431 Phone: 307-272-4972
Mrs. Theresa Woodward, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 Nevada Ave, Lovell, WY 82431 Phone: 307-399-9134
Mrs. Dey Lynn Stebner, M.S. COUNSELING Counselor Medicare: Medicare Enrolled Practice Location: 1114 Lane 12, Lovell, WY 82431 Phone: 307-548-6543 Fax: 307-548-6565
Ms. Dorthy Baker Kister, MSW Counselor Medicare: Medicare Enrolled Practice Location: 1114 Lane 12, Lovell, WY 82431 Phone: 307-548-6543 Fax: 307-548-6565

Tiana Ellison, - Medicare Counselor in Lovell, WY