Dr Janice Ann Ellery, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Dania, Florida. Her current practice location is
214 Sw 2nd Pl, Dania, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 683-8972.
Dr Janice Ann Ellery is licensed to practice in Florida (license number PY0005208) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477517795.
Healthcare Provider's Profile
| Full Name | Dr Janice Ann Ellery |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 214 Sw 2nd Pl, Dania, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477517795
- Provider Enumeration Date: 04/13/2006
- Last Update Date: 01/23/2012
Medicare PECOS Information:
- PECOS PAC ID: 2860402997
- Enrollment ID: I20060503000426
Medical Identifiers
Medical identifiers for Dr Janice Ann Ellery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477517795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PY0005208 (Florida) | 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 Janice Ann Ellery allows following entities to bill medicare on her behalf.
| Entity Name | Center For Clinical & Forensic Psychology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265459275
PECOS PAC ID: 9537149729
Enrollment ID: O20040720000866 |
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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 Janice Ann Ellery 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 |
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Dr Janice Ann Ellery, PSYD
214 Sw 2nd Pl,
Dania, FL 33004-3957
Ph: (954) 683-8972 | Dr Janice Ann Ellery, PSYD
214 Sw 2nd Pl,
Dania, FL 33004-3957
Ph: (954) 683-8972 |
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