Dr Pamela I Ellsworth, MD in Orlando, FL

Dr Pamela I Ellsworth, MD is a medicare enrolled "Urology - Pediatric Urology" physician in Orlando, Florida. Her current practice location is 13535 Nemours Pkwy, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 567-4000.

Dr Pamela I Ellsworth is licensed to practice in Florida (license number ME129642) 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 1417948647.

Contact Information

	Dr Pamela I Ellsworth, MD
	13535 Nemours Pkwy, Orlando, FL 32827-7402
	(407) 567-4000
	(407) 567-5924

Map and Direction

Physician's Profile

Full Name	Dr Pamela I Ellsworth
Gender	Female
Speciality	Urology - Pediatric Urology
Location	13535 Nemours Pkwy, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417948647
Provider Enumeration Date: 11/05/2005
Last Update Date: 01/13/2018

Medicare PECOS Information:

PECOS PAC ID: 8123047628
Enrollment ID: I20170422000188

Medical Identifiers

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

Identifier	Type	State	Issuer
1417948647	NPI	-	NPPES
018993600	Medicaid	FL
31017	Other	RI	BLUE SHIELD
3158667	Medicaid	MA
PE45993	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	150422 (Massachusetts)	Secondary
2088P0231X	Urology - Pediatric Urology	ME129642 (Florida)	Primary
208800000X	Urology	MD11894 (Rhode Island)	Secondary
2088P0231X	Urology - Pediatric Urology	150422 (Massachusetts)	Secondary

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 Pamela I Ellsworth allows following entities to bill medicare on her behalf.

Entity Name	The Nemours Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252

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 Pamela I 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 Pamela I Ellsworth, MD 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532 Ph: (904) 697-4127	Dr Pamela I Ellsworth, MD 13535 Nemours Pkwy, Orlando, FL 32827-7402 Ph: (407) 567-4000

Reviews and Comments

Urology Doctors in Orlando, FL

Robert Anthony Badalament, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-897-3499 Fax: 407-896-9454
Nabil Hilwa, MD Urology Medicare: Medicare Enrolled Practice Location: 7301 Stonerock Cir, Orlando, FL 32819 Phone: 407-298-6950 Fax: 407-578-2354
Dr. George Frederick Ellis, MD Urology Medicare: Medicare Enrolled Practice Location: 89 W Copeland Dr, Orlando, FL 32806 Phone: 321-842-6910 Fax: 321-843-5998
Albert Michael Ong, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 41 W Kaley St, Orlando, FL 32806 Phone: 407-843-6645 Fax: 407-843-4519
Jason Cheng-en Sea, MD, FRCSC Urology Medicare: Accepting Medicare Assignments Practice Location: 2101 Park Center Dr Ste 130, Orlando, FL 32835 Phone: 407-298-6950 Fax: 407-578-2354
Joshua Adam Earl, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1812 N Mills Ave, Orlando, FL 32803 Phone: 407-897-3499 Fax: 407-896-9454
Dr. Lucas Ross Wiegand, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 303 E Par St, Orlando, FL 32804 Phone: 877-876-3627 Fax: 321-843-4101

Dr Pamela I Ellsworth, MD - Medicare Urology in Orlando, FL