Dr Stephen Seals Elliott, PHD in Wilmington, NC - Medicare Psychologist Provider

Dr Stephen Seals Elliott, PHD is a medicare enrolled "Psychologist" provider in Wilmington, North Carolina. His current practice location is 3205 Randall Pkwy Ste 105, Wilmington, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 742-9243.

Dr Stephen Seals Elliott is licensed to practice in * (Not Available) (license number ) 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 1417009937.

Contact Information

	Dr Stephen Seals Elliott, PHD
	3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565
	(910) 742-9243
	(888) 746-1787

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stephen Seals Elliott
Gender	Male
Speciality	Psychologist
Location	3205 Randall Pkwy Ste 105, Wilmington, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417009937
Provider Enumeration Date: 01/17/2007
Last Update Date: 01/30/2019

Medicare PECOS Information:

PECOS PAC ID: 1658551577
Enrollment ID: I20110210000285

Medical Identifiers

Medical identifiers for Dr Stephen Seals Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417009937	NPI	-	NPPES
P01126726	Other	NC	RR MEDICARE
6000042	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1010 (North Carolina)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	1010 (North Carolina)	Secondary
106H00000X	Marriage & Family Therapist	283 (North Carolina)	Secondary
103T00000X	Psychologist	(* (Not Available))	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 Stephen Seals Elliott allows following entities to bill medicare on his behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743

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 Stephen Seals Elliott 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 Stephen Seals Elliott, PHD Po Box 538622, Atlanta, GA 30353-8622 Ph: (910) 742-9243	Dr Stephen Seals Elliott, PHD 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 Ph: (910) 742-9243

Reviews and Comments

Psychologist in Wilmington, NC

Parker Hurst Wiebe, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr, Unit 104, Wilmington, NC 28401 Phone: 910-343-6890
Ms. Lynn Ingram, LPA, HSP-PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 S 2nd St, Wilmington, NC 28401 Phone: 910-448-0728
Karen Sue Delpilar, M.A./LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4320 Wrightsville Ave, Suite B, Wilmington, NC 28403 Phone: 910-350-1181 Fax: 910-350-0419
Ashleigh Lynn Leuck, MA, LPA, BCBA, HSP-A Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7444 Chipley Dr, Wilmington, NC 28411 Phone: 910-390-6621 Fax: 910-390-6627
Dr. Glenn E. Cahn, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3205 Randall Pkwy, Suite 117, Wilmington, NC 28403 Phone: 910-332-4134
Dr. Andrea Breech Hunt, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2202 Wrightsville Ave Ste 211, Wilmington, NC 28403 Phone: 717-802-1380 Fax: 910-833-8371
Mrs. Heather Joyce Fleuriet, MA, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 615 Shipyard Blvd, Wilmington, NC 28412 Phone: 910-343-0145

Dr Stephen Seals Elliott, PHD - Medicare Psychologist in Wilmington, NC