Dr Carly Ellis, DO - Medicare Internal Medicine in Chester, VT

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Dr Carly Ellis, DO is a medicare enrolled "Internal Medicine" physician in Chester, Vermont. Her current practice location is 1824 Vt 11, Chester, Vermont. You can reach out to her office (for appointments etc.) via phone at (610) 906-5514.

Dr Carly Ellis is licensed to practice in Vermont (license number 134060) 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 1144516857.

Contact Information

Dr Carly Ellis, DO
1824 Vt 11,
Chester, VT 05143-8621
(610) 906-5514
Not Available

Map and Direction




Physician's Profile

Full NameDr Carly Ellis
GenderFemale
SpecialityInternal Medicine
Location1824 Vt 11, Chester, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144516857
  • Provider Enumeration Date: 06/21/2011
  • Last Update Date: 12/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4082837745
  • Enrollment ID: I20140527001185

Medical Identifiers

Medical identifiers for Dr Carly Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144516857NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 134060 (Vermont)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 Carly Ellis allows following entities to bill medicare on her behalf.
Entity NameTri-county Hospitalists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730518564
PECOS PAC ID: 4385872290
Enrollment ID: O20140122000447

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 Carly 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 AddressPractice Location Address
Dr Carly Ellis, DO
1824 Vt 11,
Chester, VT 05143-8621

Ph: () -		Dr Carly Ellis, DO
1824 Vt 11,
Chester, VT 05143-8621

Ph: (610) 906-5514

Reviews and Comments


Internal Medicine Doctors in Chester, VT

Dr. Brian Michael Timura, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 172 Green Mountain Tpke, Chester, VT 05143
Phone: 802-875-1753    Fax: 802-875-1756

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.