Ellie Mental Health - Medicare Mental Health Clinic in Brandon, FL

Ellie Mental Health is a medicare enrolled mental health clinic (Social Worker - Clinical) in Brandon, Florida. The current practice location for Ellie Mental Health is 109 N Oakwood Ave Ste 105, Brandon, Florida. For appointments, you can reach them via phone at (904) 704-7575. The mailing address for Ellie Mental Health is 5668 Fishhawk Crossing Blvd # 142, Lithia, Florida and phone number is (904) 704-7575.

Ellie Mental Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003522723. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (904) 704-7575.

Contact Information

Ellie Mental Health
109 N Oakwood Ave Ste 105
Brandon
FL 33510-4629
(904) 704-7575
Not Available

Mental Health Clinic Profile

Full NameEllie Mental Health
SpecialitySocial Worker
Location109 N Oakwood Ave Ste 105, Brandon, Florida
Authorized Official Name and PositionAdam Booth (OWNER)
Authorized Official Contact9047047575
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ellie Mental Health
5668 Fishhawk Crossing Blvd # 142
Lithia
FL 33547-5900

Ph: (904) 704-7575
Ellie Mental Health
109 N Oakwood Ave Ste 105
Brandon
FL 33510-4629

Ph: (904) 704-7575

NPI Details:

NPI Number1003522723
Provider Enumeration Date01/26/2023
Last Update Date01/28/2023
Certification Date01/28/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1759746423
Medicare Enrollment IDO20230502001860

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› Verified 5 days ago

Medical Identifiers

Medical identifiers for Ellie Mental Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003522723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (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. Ellie Mental Health acts as a billing entity for following providers:
Provider NameKatherine Melissa Blanken
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376890061
PECOS PAC ID: 9830554500
Enrollment ID: I20230502001933

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Provider NameErin T Mcmahon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073177135
PECOS PAC ID: 6608237276
Enrollment ID: I20230728001661

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Provider NameKelly Christina Hall
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851953350
PECOS PAC ID: 5597111435
Enrollment ID: I20231027002834

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› Verified 5 days ago

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› Verified 5 days ago

Social Worker in Brandon, FL

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