Charles Paul Ellsworth, DO - Medicare Family Practice in Mount Morris, MI

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Charles Paul Ellsworth, DO is a medicare enrolled "Family Medicine" physician in Mount Morris, Michigan. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ascension Medical Group Genesys and his current practice location is 7057 N Clio Rd, Mount Morris, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 670-0200.

Charles Paul Ellsworth is licensed to practice in Michigan (license number 5101015196) 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 1780786707.

Contact Information

Charles Paul Ellsworth, DO
7057 N Clio Rd,
Mount Morris, MI 48458-8261
(810) 670-0200
(810) 670-0196

Map and Direction




Physician's Profile

Full NameCharles Paul Ellsworth
GenderMale
SpecialityFamily Practice
Experience27 Years
Location7057 N Clio Rd, Mount Morris, Michigan
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:
  • Charles Paul Ellsworth graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1780786707
  • Provider Enumeration Date: 09/01/2006
  • Last Update Date: 12/09/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4981507662
  • Enrollment ID: I20040129000995

Medical Identifiers

Medical identifiers for Charles Paul Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780786707NPI-NPPES
1051020OtherMOMCLAREN HEALTH PLAN
178241OtherMNGREAT LAKES HEALTH PLAN/UNITED HEALTHCARE
1780786707OtherMNMOLINA HEALTHCARE OF MICHIGAN
080G3610660OtherMIMICHIGAN BLUE CROSS BLUE SHIELD
1780786707MedicaidMI
381908328OtherMIHCAP
381908328-446OtherMNCARE SOURCE OF MICHIGAN
080G310660OtherMIBLUE CARE NETWORK OF MICHIGAN
0992950OtherMIHEALTH PLUS OF MICHIGAN
19870OtherMIHEALTH PLAN OF MICHIGAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101015196 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeFlint, MIHome health agency
Genesys Regional Medical Center - Health ParkGrand blanc, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Medical Group Genesys721428828187

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. Charles Paul Ellsworth allows following entities to bill medicare on his behalf.
Entity NameGenesys Practice Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982647004
PECOS PAC ID: 3476456492
Enrollment ID: O20040128000729
Entity NameGenesys Pho Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275820110
PECOS PAC ID: 7618240409
Enrollment ID: O20180419001744
Entity NameAscension Medical Group Genesys
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598248718
PECOS PAC ID: 7214288281
Enrollment ID: O20181002000367

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. Charles Paul 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
Charles Paul Ellsworth, DO
3495 S Center Rd,
Burton, MI 48519-1455

Ph: (810) 424-2011		Charles Paul Ellsworth, DO
7057 N Clio Rd,
Mount Morris, MI 48458-8261

Ph: (810) 670-0200

Reviews and Comments


Family Medicine Doctors in Mount Morris, MI

Scott Andrew Graves, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2337 W Mount Morris Rd, Mount Morris, MI 48458
Phone: 810-564-9524    Fax: 810-564-9553
Dr. Mark Schaaf, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4485 E Mount Morris Rd, Mount Morris, MI 48458
Phone: 810-640-1942    Fax: 810-640-1942
Dr. Jeffrey B Arnold, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4485 E Mount Morris Rd, Mount Morris, MI 48458
Phone: 810-640-2200    Fax: 810-640-3113
Dr. Allan M Ebert, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7057 N Clio Rd, Mount Morris, MI 48458
Phone: 810-564-3464    Fax: 810-564-3466

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.