Ms Ellen Soukup, MS, PHD is a medicare enrolled "Psychologist - Clinical" provider in Arlington, Washington. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Beautiful Autism Llc and her current practice location is
17825 59th Ave Ne Ste B, Arlington, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 363-4234.
Ms Ellen Soukup is licensed to practice in Washington (license number PY60945604) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558747543.
Healthcare Provider's Profile
Full Name | Ms Ellen Soukup |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 6 Years |
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Location | 17825 59th Ave Ne Ste B, Arlington, Washington |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Ellen Soukup graduated from medical school in 2018
NPI Data:
- NPI Number: 1558747543
- Provider Enumeration Date: 08/03/2015
- Last Update Date: 02/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 2961800826
- Enrollment ID: I20211006002150
Medical Identifiers
Medical identifiers for Ms Ellen Soukup such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558747543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PY60945604 (Washington) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Beautiful Autism Llc | 6608282991 | 3 |
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. Ms Ellen Soukup allows following entities to bill medicare on her behalf.
Entity Name | Beautiful Autism Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841651585 PECOS PAC ID: 6608282991 Enrollment ID: O20210311001162 |
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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. Ms Ellen Soukup 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 |
Ms Ellen Soukup, MS, PHD 1270 Natividad Road, Salinas, CA 93901 Ph: (831) 796-1500 | Ms Ellen Soukup, MS, PHD 17825 59th Ave Ne Ste B, Arlington, WA 98223-6453 Ph: (360) 363-4234 |
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