Carolyn Ellis, DO in Largo, FL - Medicare Dermatology

Carolyn Ellis, DO is a medicare enrolled "Dermatology" physician in Largo, Florida. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Penobscot Valley Dermatology Pa and her current practice location is 2025 Indian Rocks Rd S, Largo, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 586-7103.

Carolyn Ellis is licensed to practice in Florida (license number UO3064) 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 1841555398.

Contact Information

	Carolyn Ellis, DO
	2025 Indian Rocks Rd S, Largo, FL 33774-1035
	(727) 586-7103
	(727) 585-7205

Map and Direction

Physician's Profile

Full Name	Carolyn Ellis
Gender	Female
Speciality	Dermatology
Experience	12 Years
Location	2025 Indian Rocks Rd S, Largo, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carolyn Ellis graduated from medical school in 2012

NPI Data:

NPI Number: 1841555398
Provider Enumeration Date: 07/11/2012
Last Update Date: 07/11/2012

Medicare PECOS Information:

PECOS PAC ID: 9931492683
Enrollment ID: I20160719000678

Medical Identifiers

Medical identifiers for Carolyn Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841555398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	UO3064 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Penobscot Valley Dermatology Pa	7315092541	7

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. Carolyn Ellis allows following entities to bill medicare on her behalf.

Entity Name	Penobscot Valley Dermatology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952536880 PECOS PAC ID: 7315092541 Enrollment ID: O20090911000198

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. Carolyn Ellis 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
Carolyn Ellis, DO 2025 Indian Rocks Rd S, Largo, FL 33774-1035 Ph: (727) 586-7103	Carolyn Ellis, DO 2025 Indian Rocks Rd S, Largo, FL 33774-1035 Ph: (727) 586-7103

Reviews and Comments

Dermatology Doctors in Largo, FL

Lana Mckinley, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13121 66th St, Largo, FL 33773 Phone: 727-530-0920 Fax: 727-535-7698
Dr. Christopher J Ballard, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11200 Seminole Blvd Ste 205, Largo, FL 33778 Phone: 813-321-1786 Fax: 813-321-1787
Dr. Matthew Brent Zook, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1301 2nd Ave Sw Fl 5, Largo, FL 33770 Phone: 727-935-0500 Fax: 727-935-0501
Dr. Brianna De Souza, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1258 W Bay Dr Ste G, Largo, FL 33770 Phone: 727-935-0500 Fax: 727-935-0501
Summer Moon, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 115 Highland Ave N, Largo, FL 33770 Phone: 727-585-8591 Fax: 727-584-0614
Dr. Jack N. Gay Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-935-0500 Fax: 727-935-0501
Mrs. Christina Michelle Baden, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8250 Bryan Dairy Rd Ste 250, Largo, FL 33777 Phone: 727-393-5300 Fax: 727-393-5301

Carolyn Ellis, DO - Medicare Dermatology in Largo, FL