Brooke Juliette Ellis, OTD, OTR/L in Enfield, CT - Medicare Occupational Therapy Provider

Brooke Juliette Ellis, OTD, OTR/L is a medicare enrolled "Occupational Therapist - Hand" provider in Enfield, Connecticut. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Russo Therapeutics, Llc and her current practice location is 113 Elm St, Enfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 253-5196.

Brooke Juliette Ellis is licensed to practice in Connecticut (license number 5940) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871253286.

Contact Information

	Brooke Juliette Ellis, OTD, OTR/L
	113 Elm St, Enfield, CT 06082-3700
	(860) 253-5196
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Juliette Ellis
Gender	Female
Speciality	Occupational Therapy
Experience	4 Years
Location	113 Elm St, Enfield, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brooke Juliette Ellis graduated from medical school in 2021

NPI Data:

NPI Number: 1871253286
Provider Enumeration Date: 12/27/2021
Last Update Date: 11/02/2024

Medicare PECOS Information:

PECOS PAC ID: 6709277569
Enrollment ID: I20220901000181

Medical Identifiers

Medical identifiers for Brooke Juliette Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871253286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	14292 (Massachusetts)	Secondary
225XH1200X	Occupational Therapist - Hand	5940 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Russo Therapeutics, Llc	5799107181	3

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. Brooke Juliette Ellis allows following entities to bill medicare on her behalf.

Provider Name	Russo Therapeutics, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174144919 PECOS PAC ID: 5799107181 Enrollment ID: O20200611001797

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. Brooke Juliette 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
Brooke Juliette Ellis, OTD, OTR/L 8 Oakwood St, Enfield, CT 06082-2717 Ph: (860) 593-2364	Brooke Juliette Ellis, OTD, OTR/L 113 Elm St, Enfield, CT 06082-3700 Ph: (860) 253-5196

Reviews and Comments

Occupational Therapist in Enfield, CT

Transformative Occupational Therapy And Consulting Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1654 King St, Enfield, CT 06082 Phone: 475-219-0013
Jessica Nicole Fields, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Till St, Enfield, CT 06082 Phone: 860-614-3305
Kristin Ladd Kolack, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Elm St Ste 201, Enfield, CT 06082 Phone: 860-253-5196
Olivia O Longley, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 18 Pleasant Rd, Enfield, CT 06082 Phone: 860-305-2389
Mrs. Sarah Hernandez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 Town Farm Rd, Enfield, CT 06082 Phone: 860-506-5434
Michael Della Volpe, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 497 Hazard Ave, Enfield, CT 06082 Phone: 203-592-1979
Lisa Kern, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1077 Enfield St, Enfield, CT 06082 Phone: 860-253-5031 Fax: 860-741-4031

Brooke Juliette Ellis, OTD, OTR/L - Medicare Occupational Therapist in Enfield, CT