Dr Paul Russell Ellison, PSYD, LP in St Louis Park, MN - Medicare Clinical Social Worker Provider

Dr Paul Russell Ellison, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in St Louis Park, Minnesota. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Associated Clinic Of Psychology Inc and his current practice location is 4027 County Road 25, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 925-6033.

Dr Paul Russell Ellison is licensed to practice in Minnesota (license number LP6366) 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 1326374117.

Contact Information

	Dr Paul Russell Ellison, PSYD, LP
	4027 County Road 25, St Louis Park, MN 55416
	(612) 925-6033
	(612) 925-8496

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Paul Russell Ellison
Gender	Male
Speciality	Clinical Social Worker
Experience	15 Years
Location	4027 County Road 25, St Louis Park, Minnesota
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 Paul Russell Ellison graduated from medical school in 2009

NPI Data:

NPI Number: 1326374117
Provider Enumeration Date: 10/28/2009
Last Update Date: 03/18/2019

Medicare PECOS Information:

PECOS PAC ID: 0749522563
Enrollment ID: I20190426001970

Medical Identifiers

Medical identifiers for Dr Paul Russell Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326374117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP6366 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Associated Clinic Of Psychology Inc	0749171320	127

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 Paul Russell Ellison allows following entities to bill medicare on his behalf.

Entity Name	Associated Clinic Of Psychology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588741292 PECOS PAC ID: 0749171320 Enrollment ID: O20040323000833

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 Paul Russell Ellison 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 Paul Russell Ellison, PSYD, LP 4240 Park Glen Rd, St Louis Park, MN 55416-5427 Ph: (612) 925-6033	Dr Paul Russell Ellison, PSYD, LP 4027 County Road 25, St Louis Park, MN 55416 Ph: (612) 925-6033

Reviews and Comments

Psychologist in St Louis Park, MN

Peter Mccormick Schaub, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123
Piper Suzanne Kalos, PHD,, LP Psychologist Medicare: Medicare Enrolled Practice Location: 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416 Phone: 612-273-8710
Dr. Adeya Richmond, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 5353 Gamble Dr Ste 395, St Louis Park, MN 55416 Phone: 612-524-8763
Dr. Rachel Jane Allyn, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4200 Minnetonka Blvd, St Louis Park, MN 55416 Phone: 801-661-3524
Dr. Kristin A Kunzman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3393
Colette Kuhn, L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1660 Highway 100 S, Suite 250, St Louis Park, MN 55416 Phone: 651-645-5323 Fax: 952-746-5962
Dr. Jennifer Jane Anderson, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2901 Princeton Ave, St Louis Park, MN 55416 Phone: 952-848-0140 Fax: 952-848-0140

Dr Paul Russell Ellison, PSYD, LP - Medicare Psychologist in St Louis Park, MN