Paula Lou Ellsworth, NP is a medicare enrolled "Nurse Practitioner - Family" in Ithaca, Michigan. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sparrow Carson Hospital and her current practice location is
114 N Main St, Ithaca, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 875-4166.
Paula Lou Ellsworth is licensed to practice in Michigan (license number 4704187187) 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 1255680211.
Provider's Profile
| Full Name | Paula Lou Ellsworth |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 114 N Main St, Ithaca, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Paula Lou Ellsworth graduated from nursing school in 2012
NPI Data:
- NPI Number: 1255680211
- Provider Enumeration Date: 09/06/2012
- Last Update Date: 09/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 7719139104
- Enrollment ID: I20121211000343
Medical Identifiers
Medical identifiers for Paula Lou Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255680211 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704187187 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sparrow Carson Hospital | 7113836701 | 49 |
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. Paula Lou Ellsworth allows following entities to bill medicare on her behalf.
| Entity Name | Sparrow Carson Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598490542
PECOS PAC ID: 7113836701
Enrollment ID: O20040126000046 |
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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. Paula Lou 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 Address | Practice Location Address |
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Paula Lou Ellsworth, NP
406 E Elm St,
Carson City, MI 48811-9693
Ph: (989) 584-3131 | Paula Lou Ellsworth, NP
114 N Main St,
Ithaca, MI 48847-1132
Ph: (989) 875-4166 |
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