Marybeth Pytlik Ellison, MD - Medicare Pediatrics in Essex, CT

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Marybeth Pytlik Ellison, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Essex, Connecticut. Her current practice location is Sunflower Developmental Pediatrics, 11 Wildwood Medical Center, Essex, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 365-9300.

Marybeth Pytlik Ellison is licensed to practice in Connecticut (license number 033211) 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 1609034438.

Contact Information

Marybeth Pytlik Ellison, MD
Sunflower Developmental Pediatrics, 11 Wildwood Medical Center,
Essex, CT 06426
(860) 365-9300
(860) 365-9300

Map and Direction




Physician's Profile

Full NameMarybeth Pytlik Ellison
GenderFemale
SpecialityPediatrics - Developmental - Behavioral Pediatrics
LocationSunflower Developmental Pediatrics, Essex, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609034438
  • Provider Enumeration Date: 05/29/2008
  • Last Update Date: 10/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507905502
  • Enrollment ID: I20091204000247

Medical Identifiers

Medical identifiers for Marybeth Pytlik Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609034438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 033211 (Connecticut)Secondary
2080P0006XPediatrics - Developmental - Behavioral Pediatrics 033211 (Connecticut)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. Marybeth Pytlik Ellison allows following entities to bill medicare on her behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015
Entity NameFair Haven Community Health Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104803444
PECOS PAC ID: 4183511538
Enrollment ID: O20040302000135

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. Marybeth Pytlik Ellison 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
Marybeth Pytlik Ellison, MD
16 Surrey Dr,
Durham, CT 06422-3312

Ph: (860) 262-2462		Marybeth Pytlik Ellison, MD
Sunflower Developmental Pediatrics, 11 Wildwood Medical Center,
Essex, CT 06426

Ph: (860) 365-9300

Reviews and Comments


Pediatrics Doctors in Essex, CT

Michelle Elizabeth Dilorenzo, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: One Wildwood Medical Center, Essex, CT 06426
Phone: 860-767-0168    Fax: 860-767-1803
Kenneth Robert Burke, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: One Wildwood Medical Center, Essex, CT 06426
Phone: 860-767-0168    Fax: 860-767-1803
Nicholas Condulis, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: One Wildwood Medical Center, Essex, CT 06426
Phone: 860-767-0168    Fax: 860-767-1803
Mr. Lawrence C Kaplan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 252 Westbrook Rd, Essex, CT 06426
Phone: 860-358-4470    

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.

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