Deirdre Woolsey Ellis, PA is a medicare enrolled "Physician Assistant" in Port Canaveral, Florida. Her current practice location is
8600 Astronaut Blvd, Port Canaveral, Florida. You can reach out to her office (for appointments etc.) via phone at
(703) 261-1100.
Deirdre Woolsey Ellis is licensed to practice in Florida (license number PA9112912) 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 1609945179.
Provider's Profile
| Full Name | Deirdre Woolsey Ellis |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 8600 Astronaut Blvd, Port Canaveral, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609945179
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 05/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 1254435423
- Enrollment ID: I20070327000673
Medical Identifiers
Medical identifiers for Deirdre Woolsey Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609945179 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | PA9112912 (Florida) | Primary |
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. Deirdre Woolsey 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 |
Deirdre Woolsey Ellis, PA 1366 44th St, Sarasota, FL 34234-4628 Ph: (703) 929-4983 | Deirdre Woolsey Ellis, PA 8600 Astronaut Blvd, Port Canaveral, FL 32920-4306 Ph: (703) 261-1100 |
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