Dr David T Ellis, PSYD - Medicare Psychologist in Princeton, WV

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Dr David T Ellis, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Princeton, West Virginia. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 211 Hunter Park, Laurel Ridge Psychological Associates, Princeton, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 487-6121.

Dr David T Ellis is licensed to practice in West Virginia (license number 988) 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 1093043754.

Contact Information

Dr David T Ellis, PSYD
211 Hunter Park, Laurel Ridge Psychological Associates,
Princeton, WV 24740
(304) 487-6121
(304) 487-8741

Map and Direction




Healthcare Provider's Profile

Full NameDr David T Ellis
GenderMale
SpecialityClinical Psychologist
Experience36 Years
Location211 Hunter Park, Princeton, West Virginia
Accepts Medicare AssignmentsYes. 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 David T Ellis graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1093043754
  • Provider Enumeration Date: 11/18/2009
  • Last Update Date: 09/16/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2860521135
  • Enrollment ID: I20100525000407

Medical Identifiers

Medical identifiers for Dr David T Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093043754NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 988 (West Virginia)Primary
103TF0200XPsychologist - Forensic 988 (West Virginia)Secondary

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 David T Ellis allows following entities to bill medicare on his behalf.
Entity NameWilliam Brezinski Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790845816
PECOS PAC ID: 3375696578
Enrollment ID: O20090805000810
Entity NameLaurel Ridge Psychological Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790845816
PECOS PAC ID: 0143542670
Enrollment ID: O20170522000242

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 David T 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 AddressPractice Location Address
Dr David T Ellis, PSYD
211 Hunter Park, Laurel Ridge Psychological Associates,
Princeton, WV 24740

Ph: (304) 487-6121		Dr David T Ellis, PSYD
211 Hunter Park, Laurel Ridge Psychological Associates,
Princeton, WV 24740

Ph: (304) 487-6121

Reviews and Comments


Psychologist in Princeton, WV

Samantha Mann,
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Phone: 304-431-5499    Fax: 304-431-3400
Lawrence Lester,
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Phone: 304-487-1551    
Deborah Nolley, MS
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Practice Location: 160 Undercliff Ter, Princeton, WV 24740
Phone: 304-425-6110    Fax: 304-487-6199
Mr. John Carr Terry, MS
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Medicare: Medicare Enrolled
Practice Location: 160 Undercliff Ter, Princeton, WV 24740
Phone: 304-431-3010    Fax: 304-431-3011
Brian Lueck, MA
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 211 Hunter Park, Princeton, WV 24740
Phone: 304-487-6121    Fax: 304-487-8741
Miss Tammie Lynn Smith, M.A.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1422 E Main St, Suite 4, Princeton, WV 24740
Phone: 304-425-3327    Fax: 304-425-4577

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.