Ms Ellen Soukup, MS, PHD - Medicare Psychologist in Arlington, WA

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.

Contact Information

Ms Ellen Soukup, MS, PHD
17825 59th Ave Ne Ste B,
Arlington, WA 98223-6453
(360) 363-4234
(360) 363-4235



Healthcare Provider's Profile

Full NameMs Ellen Soukup
GenderFemale
SpecialityClinical Psychologist
Experience6 Years
Location17825 59th Ave Ne Ste B, Arlington, Washington
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1558747543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY60945604 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beautiful Autism Llc66082829913

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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 NameBeautiful Autism Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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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Psychologist in Arlington, WA

Dr. John Montgomery Griffin Jr., PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 16404 Smokey Point Blvd, Suite 208, Arlington, WA 98223
Phone: 360-651-0610    Fax: 360-651-0656

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