Carolyn Ellis, DO in Bangor, ME - Medicare Dermatology

Carolyn Ellis, DO is a medicare enrolled "Dermatology" physician in Bangor, Maine. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Penobscot Valley Dermatology Pa and her current practice location is 498 Essex St Ste 106, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 942-0669.

Carolyn Ellis is licensed to practice in Maine (license number DO2591) 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 1841555398.

Contact Information

	Carolyn Ellis, DO
	498 Essex St Ste 106, Bangor, ME 04401-3990
	(207) 942-0669
	Not Available

Map and Direction

Physician's Profile

Full Name	Carolyn Ellis
Gender	Female
Speciality	Dermatology
Experience	14 Years
Location	498 Essex St Ste 106, Bangor, Maine
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:

Carolyn Ellis graduated from medical school in 2012

NPI Data:

NPI Number: 1841555398
Provider Enumeration Date: 07/11/2012
Last Update Date: 01/05/2026

Medicare PECOS Information:

PECOS PAC ID: 9931492683
Enrollment ID: I20160719000678

Medical Identifiers

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

Identifier	Type	State	Issuer
1841555398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	DO2591 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastern Maine Medical Center	Bangor, ME	Hospital
St Joseph Hospital	Bangor, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Penobscot Valley Dermatology Pa	7315092541	8

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. Carolyn Ellis allows following entities to bill medicare on her behalf.

Entity Name	Penobscot Valley Dermatology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952536880 PECOS PAC ID: 7315092541 Enrollment ID: O20090911000198

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. Carolyn 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
Carolyn Ellis, DO 498 Essex St Ste 106, Bangor, ME 04401-3990 Ph: (207) 942-0669	Carolyn Ellis, DO 498 Essex St Ste 106, Bangor, ME 04401-3990 Ph: (207) 942-0669

Reviews and Comments

Dermatology Doctors in Bangor, ME

Dr. Jeffrey Dean Pittis, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143
Robert Wynne Haeberlein Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 700 Mount Hope Avenue Suite 601, Bangor, ME 04401 Phone: 207-942-4653 Fax: 207-990-4795
Mrs. Faith Miller Whalen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143
Dr. Jaymie Fe Potenciano Panuncialman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 35 State Hospital Dr, Bangor, ME 04401 Phone: 207-561-3600
Mrs. Samantha Helene Mitchell, FNP-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143
Holly Haeberlein, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143

Carolyn Ellis, DO - Medicare Dermatology in Bangor, ME