Mr Tracey G Wellendorf, MD is a medicare enrolled "Otolaryngology" physician in Carroll, Iowa. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Wellendorf Ent, P.c. and his current practice location is
405 S Clark St, Suite 215, Carroll, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 792-4368.
Mr Tracey G Wellendorf is licensed to practice in Iowa (license number 30594) 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 1528057387.
Physician's Profile
| Full Name | Mr Tracey G Wellendorf |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 34 Years |
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| Location | 405 S Clark St, Carroll, Iowa |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Tracey G Wellendorf attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1990
NPI Data:
- NPI Number: 1528057387
- Provider Enumeration Date: 10/14/2005
- Last Update Date: 03/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 5193710580
- Enrollment ID: I20050608000669
Medical Identifiers
Medical identifiers for Mr Tracey G Wellendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528057387 | NPI | - | NPPES |
| 3124032 | Medicaid | IA | |
| 5124032 | Medicaid | IA | |
| 1124032 | Medicaid | IA | |
| 6124032 | Medicaid | IA | |
| 2124032 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 30594 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wellendorf Ent, P.c. | 2860487246 | 2 |
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. Mr Tracey G Wellendorf allows following entities to bill medicare on his behalf.
| Entity Name | Wellendorf Ent, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740494244
PECOS PAC ID: 2860487246
Enrollment ID: O20040415001071 |
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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. Mr Tracey G Wellendorf 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 |
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Mr Tracey G Wellendorf, MD
Po Box 766,
Carroll, IA 51401-0766
Ph: (712) 792-4368 | Mr Tracey G Wellendorf, MD
405 S Clark St, Suite 215,
Carroll, IA 51401-3065
Ph: (712) 792-4368 |
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