Dr Ellen N Emerson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Statesboro, Georgia. Her current practice location is
112 N College St, Statesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 687-5194.
Dr Ellen N Emerson is licensed to practice in Georgia (license number PSY002041) 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 1225133838.
Healthcare Provider's Profile
Full Name | Dr Ellen N Emerson |
---|
Gender | Female |
---|
Speciality | Psychologist - Clinical |
---|
Location | 112 N College St, Statesboro, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225133838
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 09/01/2015
Medicare PECOS Information:
- PECOS PAC ID: 7719985027
- Enrollment ID: I20061121000441
Medical Identifiers
Medical identifiers for Dr Ellen N Emerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225133838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFT 0374 (Nevada) | Secondary |
103TC0700X | Psychologist - Clinical | PSY002041 (Georgia) | Primary |
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. Dr Ellen N Emerson 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 |
Dr Ellen N Emerson, PHD 112n College St, Statesboro, GA 30458-5309 Ph: (912) 764-3595 | Dr Ellen N Emerson, PHD 112 N College St, Statesboro, GA 30458-5309 Ph: (912) 687-5194 |
Reviews and Comments