Charlene A Ellsworth, MD in Riverside, RI - Medicare Internal Medicine

Charlene A Ellsworth, MD is a medicare enrolled "Internal Medicine" physician in Riverside, Rhode Island. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Brown Medicine and her current practice location is 375 Wampanoag Trl, Suite 301, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 649-4050.

Charlene A Ellsworth is licensed to practice in Rhode Island (license number MD14570) 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 1083877963.

Contact Information

	Charlene A Ellsworth, MD
	375 Wampanoag Trl, Suite 301, Riverside, RI 02915-2232
	(401) 649-4050
	(401) 649-4051

Map and Direction

Physician's Profile

Full Name	Charlene A Ellsworth
Gender	Female
Speciality	Internal Medicine
Experience	16 Years
Location	375 Wampanoag Trl, Riverside, Rhode Island
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:

Charlene A Ellsworth graduated from medical school in 2008

NPI Data:

NPI Number: 1083877963
Provider Enumeration Date: 07/09/2008
Last Update Date: 03/01/2019

Medicare PECOS Information:

PECOS PAC ID: 1557530359
Enrollment ID: I20140626000476

Medical Identifiers

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

Identifier	Type	State	Issuer
1083877963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD14570 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Miriam Hospital	Providence, RI	Hospital
Rhode Island Hospital	Providence, RI	Hospital
South County Hospital Inc	Wakefield, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brown Medicine	0446159776	212

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. Charlene A Ellsworth allows following entities to bill medicare on her behalf.

Entity Name	Brown Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689626764 PECOS PAC ID: 0446159776 Enrollment ID: O20040219000354

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. Charlene A 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
Charlene A Ellsworth, MD 110 Elm St, Providence, RI 02903-4626 Ph: (877) 771-7401	Charlene A Ellsworth, MD 375 Wampanoag Trl, Suite 301, Riverside, RI 02915-2232 Ph: (401) 649-4050

Reviews and Comments

Internal Medicine Doctors in Riverside, RI

Tonslyn Toure, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4090 Fax: 401-649-4091
Jonathan A Leviss, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4020 Fax: 401-649-4021
Thomas D Denucci, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915 Phone: 401-649-4030 Fax: 401-649-4031
Kristen Tillquist, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4070 Fax: 401-649-4071
Reginald Y Gohh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Suite 302a, Riverside, RI 02915 Phone: 401-649-4060 Fax: 401-649-4061
Dr. Franklin D Mccool, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl Ste 302b, Riverside, RI 02915 Phone: 401-649-4070 Fax: 401-649-4071
Dr. Lewena Maher, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4040 Fax: 401-649-4041

Charlene A Ellsworth, MD - Medicare Internal Medicine in Riverside, RI