Ellie Bryan Mozingo, MD in Columbia, SC

Ellie Bryan Mozingo, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Columbia, South Carolina. He went to University Of South Carolina School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Prisma Health Medical Group-midlands and his current practice location is 125 Alpine Circle, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 779-3548.

Ellie Bryan Mozingo is licensed to practice in South Carolina (license number 15050) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316912066.

Contact Information

	Ellie Bryan Mozingo, MD
	125 Alpine Circle, Columbia, SC 29223
	(803) 779-3548
	(803) 779-7055

Map and Direction

Physician's Profile

Full Name	Ellie Bryan Mozingo
Gender	Male
Speciality	Psychiatry
Experience	39 Years
Location	125 Alpine Circle, Columbia, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellie Bryan Mozingo attended and graduated from University Of South Carolina School Of Medicine in 1985

NPI Data:

NPI Number: 1316912066
Provider Enumeration Date: 02/17/2006
Last Update Date: 07/20/2021

Medicare PECOS Information:

PECOS PAC ID: 4486694007
Enrollment ID: I20050503001066

Medical Identifiers

Medical identifiers for Ellie Bryan Mozingo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316912066	NPI	-	NPPES
582296052001	Other		BCBS PALMETTO HEALTH
150507	Medicaid	SC
400186	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	15050 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prisma Health Richland Hospital	Columbia, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health Medical Group-midlands	5991099707	881

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. Ellie Bryan Mozingo allows following entities to bill medicare on his behalf.

Entity Name	Carolina Family Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

Entity Name	Musc Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388

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. Ellie Bryan Mozingo 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
Ellie Bryan Mozingo, MD 125 Alpine Circle, Columbia, SC 29223 Ph: (803) 779-3548	Ellie Bryan Mozingo, MD 125 Alpine Circle, Columbia, SC 29223 Ph: (803) 779-3548

Reviews and Comments

Psychiatry & Neurology Doctors in Columbia, SC

Jason Lerand Gandy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 15 Medical Park, Psychiatry-general - Ste. 141, Columbia, SC 29203 Phone: 803-434-1433 Fax: 803-434-4062
Dr. Jeffrey Roy Meyers, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1333 Taylor St Ste 1c, Columbia, SC 29201 Phone: 803-254-6391 Fax: 803-799-0682
Dr. Richard Lesesne Frierson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15 Medical Park Rd, Suite 301, Columbia, SC 29203 Phone: 803-255-3400 Fax: 803-255-3420
Dr. Frank Pechal, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 706-776-4000
Dr. Priyantha Herath, MD PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8 Richland Medical Park Dr, Ste 420, Columbia, SC 29203 Phone: 803-545-6050
Dr. Joshua Taylor Thornhill Iv, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 15 Medical Park Rd, Suite 103, Columbia, SC 29203 Phone: 803-434-4300 Fax: 803-434-4351
Dr. Eric Rashad Williams, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3555 Harden Street Ext, 15 Medical Park, Suite 141, Columbia, SC 29203 Phone: 803-434-4300 Fax: 803-434-4351

Ellie Bryan Mozingo, MD - Medicare Psychiatry in Columbia, SC