Ashley Ellsworth, OTD, OTR/L, CHES in Tualatin, OR - Medicare Occupational Therapist Provider

Ashley Ellsworth, OTD, OTR/L, CHES is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Tualatin, Oregon. Her current practice location is 19300 Sw 65th Ave, Tualatin, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 692-1212.

Ashley Ellsworth is licensed to practice in * (Not Available) (license number ) 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 1558024679.

Contact Information

	Ashley Ellsworth, OTD, OTR/L, CHES
	19300 Sw 65th Ave, Tualatin, OR 97062-7706
	(503) 692-1212
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ashley Ellsworth
Gender	Female
Speciality	Occupational Therapist - Pediatrics
Location	19300 Sw 65th Ave, Tualatin, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558024679
Provider Enumeration Date: 10/15/2021
Last Update Date: 10/15/2021

Medicare PECOS Information:

PECOS PAC ID: 5193116796
Enrollment ID: I20211215000781

Medical Identifiers

Medical identifiers for Ashley Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558024679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	(* (Not Available))	Primary

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. Ashley Ellsworth allows following entities to bill medicare on her behalf.

Provider Name	Legacy Meridian Park Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181

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. Ashley 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
Ashley Ellsworth, OTD, OTR/L, CHES 2125 Varian Cir, Arroyo Grande, CA 93420-4900 Ph: () -	Ashley Ellsworth, OTD, OTR/L, CHES 19300 Sw 65th Ave, Tualatin, OR 97062-7706 Ph: (503) 692-1212

Reviews and Comments

Occupational Therapist in Tualatin, OR

Michelle Weidner, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave Ste 125, Tualatin, OR 97062 Phone: 503-413-4505 Fax: 503-413-4719
Serena Badgley, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 19365 Sw 65th Ave Ste 200, Tualatin, OR 97062 Phone: 503-692-5210 Fax: 503-692-8821
Christine A Baird, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19500 Sw 90th Ct, Tualatin, OR 97062 Phone: 503-213-1708
Play To Grow Developmental Therapy Services Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18959 Sw 84th Ave, Tualatin, OR 97062 Phone: 500-356-3543 Fax: 503-563-5281
Maria Bellafronte, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11975 Sw Herman Rd, Tualatin, OR 97062 Phone: 503-582-1955
Theresa Maher Roth, MA OTR L CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19365 Sw 65th Ave Ste 200, Tualatin, OR 97062 Phone: 503-692-5210 Fax: 503-692-8821
Bonnie Oldham Carlson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave, Suite 125, Tualatin, OR 97062 Phone: 503-692-1670 Fax: 503-692-1669

Ashley Ellsworth, OTD, OTR/L, CHES - Medicare Occupational Therapist in Tualatin, OR