Ms Kelley Anne Ellsworth, PA-C - Medicare Physician Assistant in Washington, DC

Ms Kelley Anne Ellsworth, PA-C is a medicare enrolled "Physician Assistant" in Washington, District Of Columbia. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Vineyard Medical Care Llc and her current practice location is 3301 New Mexico Ave Nw Ste 205, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 243-2500.

Ms Kelley Anne Ellsworth is licensed to practice in District Of Columbia (license number PA031761) 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 1710541487.

Contact Information

Ms Kelley Anne Ellsworth, PA-C
3301 New Mexico Ave Nw Ste 205,
Washington, DC 20016-3627
(202) 243-2500
Not Available

Map and Direction




Provider's Profile

Full NameMs Kelley Anne Ellsworth
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location3301 New Mexico Ave Nw Ste 205, Washington, District Of Columbia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kelley Anne Ellsworth graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1710541487
  • Provider Enumeration Date: 04/27/2019
  • Last Update Date: 06/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0941626568
  • Enrollment ID: I20200813001315

Medical Identifiers

Medical identifiers for Ms Kelley Anne Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710541487NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA031761 (District Of Columbia)Primary
363A00000XPhysician Assistant PA7445 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Martha's Vineyard Hospital IncOak bluffs, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vineyard Medical Care Llc74162795914

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. Ms Kelley Anne 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
Ms Kelley Anne Ellsworth, PA-C
3135 38th St Nw,
Washington, DC 20016-3726

Ph: (202) 744-4983
Ms Kelley Anne Ellsworth, PA-C
3301 New Mexico Ave Nw Ste 205,
Washington, DC 20016-3627

Ph: (202) 243-2500

Reviews and Comments


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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.

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