Mr Tracey G Wellendorf, MD - Medicare Otolaryngology in Carroll, IA

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Mr Tracey G Wellendorf, MD is a medicare enrolled "Otolaryngology" physician in Carroll, Iowa. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice St Anthony Regional Hospital And Nursing Home and his current practice location is 405 S Clark St, Suite 215, Carroll, Iowa. You can reach out to his office (for appointments etc.) via phone at (712) 792-4368.

Mr Tracey G Wellendorf is licensed to practice in Iowa (license number 30594) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1528057387.

Contact Information

Mr Tracey G Wellendorf, MD
405 S Clark St, Suite 215,
Carroll, IA 51401-3065
(712) 792-4368
(712) 792-2056

Map and Direction




Physician's Profile

Full NameMr Tracey G Wellendorf
GenderMale
SpecialityOtolaryngology
Experience35 Years
Location405 S Clark St, Carroll, Iowa
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Tracey G Wellendorf attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1990
  NPI Data:
  • NPI Number: 1528057387
  • Provider Enumeration Date: 10/14/2005
  • Last Update Date: 03/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5193710580
  • Enrollment ID: I20050608000669

Medical Identifiers

Medical identifiers for Mr Tracey G Wellendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528057387NPI-NPPES
3124032MedicaidIA
5124032MedicaidIA
1124032MedicaidIA
6124032MedicaidIA
2124032MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 30594 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Montgomery County Memorial HospitalRed oak, IAHospital
Buena Vista Regional Medical CenterStorm lake, IAHospital
Humboldt County Memorial HospitalHumboldt, IAHospital
Pocahontas Community HospitalPocahontas, IAHospital

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 Tracey G Wellendorf allows following entities to bill medicare on his behalf.
Entity NameSt Anthony Regional Hospital And Nursing Home
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801815972
PECOS PAC ID: 4688586829
Enrollment ID: O20031105000218
Entity NameMontgomery County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265405310
PECOS PAC ID: 9032015805
Enrollment ID: O20031211000423
Entity NameWellendorf Ent, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740494244
PECOS PAC ID: 2860487246
Enrollment ID: O20040415001071
Entity NameMontgomery County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1376539338
PECOS PAC ID: 9032015805
Enrollment ID: O20061104000347
Entity NameSt Anthony Regional Hospital And Nursing Home
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1720067127
PECOS PAC ID: 4688586829
Enrollment ID: O20231212001754

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 Tracey G Wellendorf 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 Tracey G Wellendorf, MD
Po Box 766,
Carroll, IA 51401-0766

Ph: (712) 792-4368		Mr Tracey G Wellendorf, MD
405 S Clark St, Suite 215,
Carroll, IA 51401-3065

Ph: (712) 792-4368

Reviews and Comments


Otolaryngology Doctors in Carroll, IA

Jessica Leeds, MSN. ARNP, FNP-BC
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 311 S Clark St, Carroll, IA 51401
Phone: 712-792-4368    

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.