John Darris Ellis, PMFT in Draper, UT - Medicare Marriage & Family Therapist Provider

John Darris Ellis, PMFT is a medicare enrolled "Marriage & Family Therapist" provider in Draper, Utah. His current practice location is 721 East 12200 South, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 369-8989.

John Darris Ellis is licensed to practice in Wyoming (license number PMFT-255) 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 1750637393.

Contact Information

	John Darris Ellis, PMFT
	721 East 12200 South, Draper, UT 84040-8404
	(801) 369-8989
	(801) 704-9741

Map and Direction

Healthcare Provider's Profile

Full Name	John Darris Ellis
Gender	Male
Speciality	Marriage & Family Therapist
Location	721 East 12200 South, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750637393
Provider Enumeration Date: 08/01/2012
Last Update Date: 02/02/2021

Medicare PECOS Information:

PECOS PAC ID: 9638582430
Enrollment ID: I20240103002849

Medical Identifiers

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

Identifier	Type	State	Issuer
1750637393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	PMFT-255 (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. John Darris Ellis allows following entities to bill medicare on his behalf.

Entity Name	Cedar Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265092282 PECOS PAC ID: 2163750688 Enrollment ID: O20190822000230

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. John Darris 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
John Darris Ellis, PMFT 672 W 400 S Ste 201, Springville, UT 84663-3170 Ph: (801) 369-8989	John Darris Ellis, PMFT 721 East 12200 South, Draper, UT 84040-8404 Ph: (801) 369-8989

Reviews and Comments

Marriage & Family Therapist in Draper, UT

Emilee Krupa, LMFT, SUDC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13552 S 110 W Ste 204, Draper, UT 84020 Phone: 801-432-0883
Tiffany Henline, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13552 S 110 W Ste 204, Draper, UT 84020 Phone: 801-432-0883
Tari Henson-romero, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11650 S State St Ste 104, Draper, UT 84020 Phone: 801-867-3472 Fax: 801-401-7850
Blake K Patterson, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11650 S State St Ste 104, Draper, UT 84020 Phone: 801-867-3472 Fax: 801-401-7850
Dr. Bernell Lee Christensen, PH.D Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 584 E 12300 S Ste 1, Draper, UT 84020 Phone: 801-748-2192
Malory Christensen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12401 S 450 E Unit D2, Draper, UT 84020 Phone: 801-277-6851
Cristina Leslie, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13552 S 110 W Ste 204, Draper, UT 84020 Phone: 801-432-0883

John Darris Ellis, PMFT - Medicare Couples Therapy in Draper, UT