Dr Jessica Ellsworth, AUD in Houston, TX - Medicare Audiologist Provider

Dr Jessica Ellsworth, AUD is a medicare enrolled "Audiologist" provider in Houston, Texas. Her current practice location is 17625 El Camino Real Ste 155, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 809-6008.

Dr Jessica Ellsworth is licensed to practice in Texas (license number 81183) 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 1205426483.

Contact Information

	Dr Jessica Ellsworth, AUD
	17625 El Camino Real Ste 155, Houston, TX 77058-3085
	(281) 809-6008
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jessica Ellsworth
Gender	Female
Speciality	Audiologist
Location	17625 El Camino Real Ste 155, Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205426483
Provider Enumeration Date: 01/21/2021
Last Update Date: 01/21/2021

Medicare PECOS Information:

PECOS PAC ID: 3779998729
Enrollment ID: I20210225000016

Medical Identifiers

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

Identifier	Type	State	Issuer
1205426483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	81183 (Texas)	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. Dr Jessica Ellsworth allows following entities to bill medicare on her behalf.

Provider Name	Space City Audiology Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154817344 PECOS PAC ID: 4880946722 Enrollment ID: O20181004001056

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 Jessica 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
Dr Jessica Ellsworth, AUD 17625 El Camino Real Ste 155, Houston, TX 77058-3085 Ph: () -	Dr Jessica Ellsworth, AUD 17625 El Camino Real Ste 155, Houston, TX 77058-3085 Ph: (281) 809-6008

Reviews and Comments

Audiologist in Houston, TX

Jan E. Gilden, M.A. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 7737 Southwest Fwy, Suite 630, Houston, TX 77074 Phone: 713-771-9966 Fax: 713-771-0546
Sheridan Childrens Healthcare Services Of Texas Pa Audiologist Medicare: Not Enrolled in Medicare Practice Location: 6700 Bellaire Blvd, Houston, TX 77074 Phone: 713-778-3272
Dr. Rebecca Lynn Martin, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6550 Fannin St Ste 1723, Houston, TX 77030 Phone: 713-441-1368 Fax: 713-796-2349
Stephanie Sharleen Rios, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6400 Fannin St Ste 2700, Houston, TX 77030 Phone: 713-486-5038
Jennifer Diane Kimberly, MA-CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 2727 W Holcombe Blvd, Houston, TX 77025 Phone: 713-442-0000
Rajarshi Pratihar, AU.D Audiologist Medicare: Medicare Enrolled Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161
Audrey Allen Foret, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 18220 Tomball Pkwy Ste 155, Houston, TX 77070 Phone: 281-469-5400 Fax: 281-469-2337

Dr Jessica Ellsworth, AUD - Medicare Audiologist in Houston, TX