Mr Kerry Ellis, LCSW-C - Medicare Clinical Social Worker in Millersville, MD

Mr Kerry Ellis, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Millersville, Maryland. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 1111 Benfield Blvd Ste 104, Millersville, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 714-2626.

Mr Kerry Ellis is licensed to practice in Maryland (license number 20829) 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 1134631757.

Contact Information

Mr Kerry Ellis, LCSW-C
1111 Benfield Blvd Ste 104,
Millersville, MD 21108-3003
(410) 714-2626
Not Available



Healthcare Provider's Profile

Full NameMr Kerry Ellis
GenderMale
SpecialityClinical Social Worker
Experience9 Years
Location1111 Benfield Blvd Ste 104, Millersville, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kerry Ellis graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1134631757
  • Provider Enumeration Date: 11/05/2017
  • Last Update Date: 11/05/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6305101528
  • Enrollment ID: I20180517001310

Medical Identifiers

Medical identifiers for Mr Kerry Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134631757NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 20829 (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. Mr Kerry Ellis allows following entities to bill medicare on his behalf.
Entity NameFor All Seasons, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619087202
PECOS PAC ID: 0244214187
Enrollment ID: O20040617000095

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Entity NameLuminis Health Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073580205
PECOS PAC ID: 2860447315
Enrollment ID: O20050317000146

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Entity NameChanging Patterns Psychotherapy Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134893522
PECOS PAC ID: 6204214562
Enrollment ID: O20220528000004

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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. Mr Kerry 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 AddressPractice Location Address
Mr Kerry Ellis, LCSW-C
260a Hilltop Ln Apt 102,
Annapolis, MD 21403-5809

Ph: (410) 714-2626
Mr Kerry Ellis, LCSW-C
1111 Benfield Blvd Ste 104,
Millersville, MD 21108-3003

Ph: (410) 714-2626

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Social Worker in Millersville, MD

Suzanne Matty, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8258 Veterans Hwy, Suite 13, Millersville, MD 21108
Phone: 410-768-6088    Fax: 410-768-6444
Mrs. Anna Marie Smith, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1111 Benfield Blvd Ste 104, Millersville, MD 21108
Phone: 667-600-2468    Fax: 667-600-4061
Amanda Richardson, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8258 Veterans Hwy, Suite 13, Millersville, MD 21108
Phone: 410-768-6088    Fax: 410-768-6444
Alison Jones, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1114 Benfield Blvd Ste G, Millersville, MD 21108
Phone: 410-780-5203    Fax: 410-987-4301
Ms. Victoria Elaine Wilson, LCSWC
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1110 Benfield Blvd Suite H, Severna Park Professional Counseling Center, Millersville, MD 21108
Phone: 410-987-5048    Fax: 410-987-4710
Erin K Oczkowski, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8258 Veterans Hwy Ste 13, Millersville, MD 21108
Phone: 410-768-6088    Fax: 410-768-6444
Summer Hecht, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8258 Veterans Hwy, Suite 13, Millersville, MD 21108
Phone: 410-768-6088    Fax: 410-768-6444

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