Dr Carl Richard Ellis, EDD in Norfolk, VA - Medicare Clinical Psychologist Provider

Dr Carl Richard Ellis, EDD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Norfolk, Virginia. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Spectrum Psychological And Neurotherapy Pc and his current practice location is 4101 Granby St Ste 301, Norfolk, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 640-1882.

Dr Carl Richard Ellis is licensed to practice in Virginia (license number 0810001913) 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 1821173519.

Contact Information

	Dr Carl Richard Ellis, EDD
	4101 Granby St Ste 301, Norfolk, VA 23504-1117
	(757) 640-1882
	(757) 640-0253

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Carl Richard Ellis
Gender	Male
Speciality	Clinical Psychologist
Experience	33 Years
Location	4101 Granby St Ste 301, Norfolk, Virginia
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:

Dr Carl Richard Ellis graduated from medical school in 1991

NPI Data:

NPI Number: 1821173519
Provider Enumeration Date: 10/25/2006
Last Update Date: 06/12/2008

Medicare PECOS Information:

PECOS PAC ID: 4587987169
Enrollment ID: I20150107000675

Medical Identifiers

Medical identifiers for Dr Carl Richard Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821173519	NPI	-	NPPES
058231	Other	VA	ANTHEM BC/BS
007700580	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	0810001913 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spectrum Psychological And Neurotherapy Pc	4385934843	2

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 Carl Richard Ellis allows following entities to bill medicare on his behalf.

Entity Name	Spectrum Psychological And Neurotherapy Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407221716 PECOS PAC ID: 4385934843 Enrollment ID: O20160613000866

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 Carl Richard 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
Dr Carl Richard Ellis, EDD 4101 Granby St, Suite 301, Norfolk, VA 23504-1117 Ph: (757) 640-1882	Dr Carl Richard Ellis, EDD 4101 Granby St Ste 301, Norfolk, VA 23504-1117 Ph: (757) 640-1882

Reviews and Comments

Psychologist in Norfolk, VA

Skye Ochsner Margolies, M.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 721 Fairfax Ave, 3rd Floor, Norfolk, VA 23507 Phone: 757-446-5915 Fax: 757-446-5969
Kristen Leland, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 E City Hall Ave, Norfolk, VA 23510 Phone: 757-852-4641
Michael L Stutts, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Fairfax Ave Ste 710, Norfolk, VA 23507 Phone: 757-446-5888 Fax: 757-446-5918
Dr. Kari Lannon, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 420 N Center Dr, #200, Norfolk, VA 23502 Phone: 757-961-3255 Fax: 757-961-3265
Lanae Mckelvey, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Norfolk Public Schools Ls-ses (attn: Lanae Mckelvey), 800 E. City Hall Ave, Norfolk, VA 23510 Phone: 757-453-7040
Catherine Matthews, EDS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 E City Hall Ave, Norfolk, VA 23510 Phone: 404-556-8212
Breonna Lashae Davis, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 E City Hall Ave, Norfolk, VA 23510 Phone: 270-366-5765

Dr Carl Richard Ellis, EDD - Medicare Psychologist in Norfolk, VA