Dr Glenn Thomas Ellis, PHD in Columbus, MS - Medicare Psychologist Provider

Dr Glenn Thomas Ellis, PHD is a medicare enrolled "Psychologist" provider in Columbus, Mississippi. His current practice location is 815 2nd Ave No, Columbus, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 327-7388.

Dr Glenn Thomas Ellis is licensed to practice in Mississippi (license number 105) 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 1184712820.

Contact Information

	Dr Glenn Thomas Ellis, PHD
	815 2nd Ave No, Columbus, MS 39701
	(662) 327-7388
	(662) 329-1177

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Glenn Thomas Ellis
Gender	Male
Speciality	Psychologist
Location	815 2nd Ave No, Columbus, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184712820
Provider Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9234465881
Enrollment ID: I20190927000736

Medical Identifiers

Medical identifiers for Dr Glenn Thomas Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184712820	NPI	-	NPPES
00115223	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	105 (Mississippi)	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 Glenn Thomas Ellis allows following entities to bill medicare on his behalf.

Entity Name	The Chadwick Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801538186 PECOS PAC ID: 5092198028 Enrollment ID: O20220823004048

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 Glenn Thomas 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 Glenn Thomas Ellis, PHD 815 2nd Ave North, Columbus, MS 39701 Ph: (662) 327-7388	Dr Glenn Thomas Ellis, PHD 815 2nd Ave No, Columbus, MS 39701 Ph: (662) 327-7388

Reviews and Comments

Psychologist in Columbus, MS

James R. Lane Iii, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 116 Lawrence Dr, Suite 4, Columbus, MS 39702 Phone: 662-329-0114 Fax: 662-329-0114
Kristen L Campbell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 5th St N, Suite 304, Columbus, MS 39701 Phone: 662-549-7378
Mariana Lucchesa Naldi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Columbus, MS 39701 Phone: 662-328-9225
Dr. Rachel Baden Sherrill, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 815 2nd Ave N, Columbus, MS 39701 Phone: 662-370-1082
Dr. Sue Trant Bargeron, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 Independence, 14th Medical Group, Columbus, MS 39710 Phone: 662-434-2239 Fax: 662-434-2110

Dr Glenn Thomas Ellis, PHD - Medicare Psychologist in Columbus, MS