Elizabeth Laurie Ellison, MS LMFT in Madison, WI - Medicare Marriage & Family Therapist Provider

Elizabeth Laurie Ellison, MS LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Madison, Wisconsin. Her current practice location is 1320 Mendota St Ste 120, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 280-3106.

Elizabeth Laurie Ellison is licensed to practice in Wisconsin (license number 970-124) 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 1104101245.

Contact Information

	Elizabeth Laurie Ellison, MS LMFT
	1320 Mendota St Ste 120, Madison, WI 53714-1060
	(608) 280-3106
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Laurie Ellison
Gender	Female
Speciality	Marriage & Family Therapist
Location	1320 Mendota St Ste 120, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104101245
Provider Enumeration Date: 10/20/2011
Last Update Date: 12/21/2017

Medicare PECOS Information:

PECOS PAC ID: 3375087935
Enrollment ID: I20240708000558

Medical Identifiers

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

Identifier	Type	State	Issuer
1104101245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	970-124 (Wisconsin)	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. Elizabeth Laurie Ellison allows following entities to bill medicare on her behalf.

Entity Name	Journey Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841413879 PECOS PAC ID: 6406844661 Enrollment ID: O20040505000827

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. Elizabeth Laurie 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
Elizabeth Laurie Ellison, MS LMFT 25 Kessel Ct Ste 105, Madison, WI 53711-6227 Ph: (608) 358-5111	Elizabeth Laurie Ellison, MS LMFT 1320 Mendota St Ste 120, Madison, WI 53714-1060 Ph: (608) 280-3106

Reviews and Comments

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Elizabeth Laurie Ellison, MS LMFT - Medicare Couples Therapy in Madison, WI