Jennifer Danielle Ellis, PHD in Baltimore, MD - Medicare Psychologist Provider

Jennifer Danielle Ellis, PHD is a medicare enrolled "Psychologist - Clinical" provider in Baltimore, Maryland. Her current practice location is 5510 Nathan Shock Dr, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 550-6346.

Jennifer Danielle Ellis is licensed to practice in Maryland (license number 06673) 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 1043925654.

Contact Information

	Jennifer Danielle Ellis, PHD
	5510 Nathan Shock Dr, Baltimore, MD 21224-6823
	(410) 550-6346
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Danielle Ellis
Gender	Female
Speciality	Psychologist - Clinical
Location	5510 Nathan Shock Dr, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043925654
Provider Enumeration Date: 01/18/2023
Last Update Date: 04/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3072978295
Enrollment ID: I20230422000250

Medical Identifiers

Medical identifiers for Jennifer Danielle Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043925654	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	06673 (Maryland)	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. Jennifer Danielle Ellis allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

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. Jennifer Danielle 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
Jennifer Danielle Ellis, PHD 6201 Greenleigh Ave, Baltimore, MD 21220-2004 Ph: () -	Jennifer Danielle Ellis, PHD 5510 Nathan Shock Dr, Baltimore, MD 21224-6823 Ph: (410) 550-6346

Reviews and Comments

Psychologist in Baltimore, MD

Dr. Lois Schuster, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Red Cedar Ct, Baltimore, MD 21208 Phone: 410-486-1190
Dr. Stephanie A Lee, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205 Phone: 443-923-9400 Fax: 443-923-9405
Tiffany Wen-ting Lin, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 707 N Broadway, Baltimore, MD 21205 Phone: 443-923-9200 Fax: 443-923-1895
Eshauna Padilla, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11 Terron Ct, Baltimore, MD 21234 Phone: 443-221-5700
Rachel Aaron, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe Street, Meyer 163, Baltimore, MD 21287 Phone: 410-614-4030 Fax: 410-614-4033
Dr. Terri Julian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 31 Hopkins Plz, G045, Baltimore, MD 21201 Phone: 410-637-4749
Dr. David Gary Epstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6525 N Charles St, Gibson Bldg., Ste. 142, Baltimore, MD 21204 Phone: 410-828-4846 Fax: 410-938-4444

Jennifer Danielle Ellis, PHD - Medicare Psychologist in Baltimore, MD