| Paula Lou Ellsworth, NP | |
|
114 N Main St, Ithaca, MI 48847-1132 | |
| (989) 875-4166 | |
| (989) 875-5168 |
| Full Name | Paula Lou Ellsworth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 114 N Main St, Ithaca, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255680211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704187187 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sparrow Carson Hospital | Carson city, MI | Hospital |
| Midmichigan Medical Center-gratiot | Alma, MI | Hospital |
| Midmichigan Medical Center-clare | Clare, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sparrow Carson Hospital | 7113836701 | 68 |
| Entity Name | Sparrow Carson Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598490542 PECOS PAC ID: 7113836701 Enrollment ID: O20040126000046 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Cora J Pavlik, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 N Pine River St, Ithaca, MI 48847 Phone: 989-875-5111 Fax: 989-875-5023 | |
Aubree Akers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 N Pine River St, Ithaca, MI 48847 Phone: 989-875-5111 |