Dr Carolyn Ann Ellsworth, MD - Medicare Pediatrics in West Plains, MO

  1. Home
  2. Pediatrics
  3. MO
  4. West Plains
Dr Carolyn Ann Ellsworth, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in West Plains, Missouri. Her current practice location is 312 N Kentucky St, West Plains, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 257-7076.

Dr Carolyn Ann Ellsworth is licensed to practice in Missouri (license number 102421) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679570618.

Contact Information

Dr Carolyn Ann Ellsworth, MD
312 N Kentucky St,
West Plains, MO 65775-2073
(417) 257-7076
(417) 257-1417

Map and Direction




Physician's Profile

Full NameDr Carolyn Ann Ellsworth
GenderFemale
SpecialityPediatrics - Adolescent Medicine
Location312 N Kentucky St, West Plains, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679570618
  • Provider Enumeration Date: 07/06/2005
  • Last Update Date: 11/01/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4183984743
  • Enrollment ID: I20180131000915

Medical Identifiers

Medical identifiers for Dr Carolyn Ann Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679570618NPI-NPPES
123942001MedicaidAK
203592001MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 102421 (Missouri)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. Dr Carolyn Ann Ellsworth allows following entities to bill medicare on her behalf.
Entity NameOzarks Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831115641
PECOS PAC ID: 3870491863
Enrollment ID: O20040209001035

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. Dr Carolyn Ann Ellsworth 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
Dr Carolyn Ann Ellsworth, MD
312 N Kentucky St,
West Plains, MO 65775-2073

Ph: (417) 257-7076		Dr Carolyn Ann Ellsworth, MD
312 N Kentucky St,
West Plains, MO 65775-2073

Ph: (417) 257-7076

Reviews and Comments


Pediatrics Doctors in West Plains, MO

Megan Marie Montague,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1137 Independence Dr, West Plains, MO 65775
Phone: 417-255-8464    
Joseph William Stafford Jr.,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 312 N Kentucky Ave, West Plains, MO 65775
Phone: 417-257-7076    Fax: 417-257-1417
Dr. Garry Erskine Finke, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1137 Independence Dr, West Plains, MO 65775
Phone: 417-293-8464    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.