Mr Tracey G Wellendorf, MD in Carroll, IA

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 34 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Wellendorf Ent, P.c. 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any 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 Name	Mr Tracey G Wellendorf
Gender	Male
Speciality	Otolaryngology
Experience	34 Years
Location	405 S Clark St, Carroll, Iowa
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any 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.

Identifier	Type	State	Issuer
1528057387	NPI	-	NPPES
3124032	Medicaid	IA
5124032	Medicaid	IA
1124032	Medicaid	IA
6124032	Medicaid	IA
2124032	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	30594 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Anthony Regional Hospital & Nursing Home	Carroll, IA	Hospital
Buena Vista Regional Medical Center	Storm lake, IA	Hospital
Stewart Memorial Community Hospital	Lake city, IA	Hospital
Montgomery County Memorial Hospital	Red oak, IA	Hospital
Humboldt County Memorial Hospital	Humboldt, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellendorf Ent, P.c.	2860487246	2

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 Name	Wellendorf Ent, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740494244 PECOS PAC ID: 2860487246 Enrollment ID: O20040415001071

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 Address	Practice 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

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