William Earl Ezzelle, LPC in Stamford, CT - Medicare Counselor Provider

William Earl Ezzelle, LPC is a medicare enrolled "Counselor - Mental Health" provider in Stamford, Connecticut. His current practice location is 60 Palmers Hill Rd, Stamford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 614-9942.

William Earl Ezzelle is licensed to practice in Connecticut (license number 6632) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013438555.

Contact Information

	William Earl Ezzelle, LPC
	60 Palmers Hill Rd, Stamford, CT 06902-2113
	(203) 614-9942
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	William Earl Ezzelle
Gender	Male
Speciality	Counselor - Mental Health
Location	60 Palmers Hill Rd, Stamford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013438555
Provider Enumeration Date: 07/06/2017
Last Update Date: 06/17/2024

Medicare PECOS Information:

PECOS PAC ID: 1658813159
Enrollment ID: I20240612002280

Medical Identifiers

Medical identifiers for William Earl Ezzelle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013438555	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	0718000610 (Virginia)	Secondary
101YM0800X	Counselor - Mental Health	78816 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	37PC00934800 (New Jersey)	Secondary
101YM0800X	Counselor - Mental Health	0701010791 (Virginia)	Secondary
101YM0800X	Counselor - Mental Health	6632 (Connecticut)	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. William Earl Ezzelle allows following entities to bill medicare on his behalf.

Entity Name	Family Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265477780 PECOS PAC ID: 6507753324 Enrollment ID: O20040304000351

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. William Earl Ezzelle 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
William Earl Ezzelle, LPC 150 Southfield Ave Apt 2120, Stamford, CT 06902-7764 Ph: (276) 415-0739	William Earl Ezzelle, LPC 60 Palmers Hill Rd, Stamford, CT 06902-2113 Ph: (203) 614-9942

Reviews and Comments

Counselor in Stamford, CT

Brianna Robinson, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1351 Washington Blvd, Stamford, CT 06902 Phone: 203-621-3700
Ms. Sharon M Fornaciari, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 38 Hirsch Road, Stamford, CT 06905 Phone: 203-968-0451 Fax: 203-961-1223
Dr. James J. Wisecup, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 53 W Bank Ln, Stamford, CT 06902 Phone: 203-602-9969 Fax: 203-602-2234
Ms. Susan K Cook, M.A., L.C.S.W., Counselor Medicare: Medicare Enrolled Practice Location: 48 Don Bob Rd, Stamford, CT 06903 Phone: 203-968-6180
Amanda Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Buxton Farm Rd Ste 105, Stamford, CT 06905 Phone: 845-325-5511
Grace S Yang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Buxton Farm Rd Ste 105, Stamford, CT 06905 Phone: 203-674-8200

William Earl Ezzelle, LPC - Medicare Counselor in Stamford, CT