Dr Timothy Andrew Ellsworth, PSYD - Medicare Psychologist in Arlington, VA

Dr Timothy Andrew Ellsworth, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Arlington, Virginia. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Psychotherapy Associates Of The Dmv, Psychotherapy Associates Of The Dmv and his current practice location is 3801 Fairfax Dr 61, Arlington, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 317-1003.

Dr Timothy Andrew Ellsworth is licensed to practice in District Of Columbia (license number PSY1000280) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568510212.

Contact Information

Dr Timothy Andrew Ellsworth, PSYD
3801 Fairfax Dr 61,
Arlington, VA 22203-1762
(571) 317-1003
(888) 220-4899

Map and Direction




Healthcare Provider's Profile

Full NameDr Timothy Andrew Ellsworth
GenderMale
SpecialityClinical Psychologist
Experience22 Years
Location3801 Fairfax Dr 61, Arlington, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Timothy Andrew Ellsworth graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1568510212
  • Provider Enumeration Date: 01/08/2007
  • Last Update Date: 06/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092812164
  • Enrollment ID: I20070524000290

Medical Identifiers

Medical identifiers for Dr Timothy Andrew Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568510212NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY1000280 (District Of Columbia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Psychotherapy Associates Of The Dmv08406796842
Psychotherapy Associates Of The Dmv08406796842

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. Dr Timothy Andrew Ellsworth allows following entities to bill medicare on his behalf.
Entity NamePsychotherapy Associates Of The Dmv
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528675212
PECOS PAC ID: 0840679684
Enrollment ID: O20220624000492

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. Dr Timothy Andrew 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
Dr Timothy Andrew Ellsworth, PSYD
3801 Fairfax Dr Ste 61,
Arlington, VA 22203-1762

Ph: (571) 317-1003
Dr Timothy Andrew Ellsworth, PSYD
3801 Fairfax Dr 61,
Arlington, VA 22203-1762

Ph: (571) 317-1003

Reviews and Comments


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