Dr Brent Michael Ellens, PSYD in Holland, MI - Medicare Psychologist Provider

Dr Brent Michael Ellens, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Holland, Michigan. His current practice location is 720 E 8th St Ste 2, Holland, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 355-0549.

Dr Brent Michael Ellens is licensed to practice in Michigan (license number 6301011810) 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 1932145729.

Contact Information

	Dr Brent Michael Ellens, PSYD
	720 E 8th St Ste 2, Holland, MI 49423-3079
	(616) 355-0549
	(616) 355-0480

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brent Michael Ellens
Gender	Male
Speciality	Psychologist - Clinical
Location	720 E 8th St Ste 2, Holland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932145729
Provider Enumeration Date: 06/21/2006
Last Update Date: 01/07/2022

Medicare PECOS Information:

PECOS PAC ID: 5799670931
Enrollment ID: I20040217000985

Medical Identifiers

Medical identifiers for Dr Brent Michael Ellens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932145729	NPI	-	NPPES
P101976540	Other	MI	BC/BS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301011810 (Michigan)	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. Dr Brent Michael Ellens allows following entities to bill medicare on his behalf.

Entity Name	Pine Rest Christian Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149

Entity Name	Counseling & Consultation Resources Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013060151 PECOS PAC ID: 0648663310 Enrollment ID: O20220202001684

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 Brent Michael Ellens 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 Brent Michael Ellens, PSYD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000	Dr Brent Michael Ellens, PSYD 720 E 8th St Ste 2, Holland, MI 49423-3079 Ph: (616) 355-0549

Reviews and Comments

Psychologist in Holland, MI

Mr. Joseph Andrew Bechard, MSW EDS LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36 West 8th Street, Suite 250 Center For Psycho Educational Services, Holland, MI 49423 Phone: 616-836-9636 Fax: 616-393-0903
Ms. Kathleen D. Smith, PSYCHOLOGIST LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12265 James St, Holland, MI 49424 Phone: 616-494-5698 Fax: 616-393-5687
Brianna Taylor, LPC, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 854 Washington Ave Ste 600, Holland, MI 49423 Phone: 616-499-2218
Diego Castro Franco, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 238 Hoover Blvd, Holland, MI 49423 Phone: 616-591-9400
Matthew Warren Bush, MA, LLP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 926 S Washington Ave, Holland, MI 49423 Phone: 616-820-3780
Jesi Nicole Sortwell, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 238 Hoover Blvd Ste 10, Holland, MI 49423 Phone: 616-591-9000
James Henry Hoeksema, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 720 E 8th St, Suite 2, Holland, MI 49423 Phone: 616-355-0473 Fax: 616-355-0480

Dr Brent Michael Ellens, PSYD - Medicare Psychologist in Holland, MI