Ellen J Wormser, CNM LNM is a medicare enrolled "Midwife" in New Haven, Connecticut. Her current practice location is
374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 777-7411.
Ellen J Wormser is licensed to practice in * (Not Available) (license number ) 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 1043303258.
Provider's Profile
| Full Name | Ellen J Wormser |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 374 Grand Avenue, New Haven, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043303258
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 01/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214016476
- Enrollment ID: I20080430000143
Medical Identifiers
Medical identifiers for Ellen J Wormser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043303258 | NPI | - | NPPES |
| 0000549734 | Other | | CT CARE |
| 183840 | Other | | PREFERRED ONE |
| 400000054CT01 | Other | | ANTHEM BCBS |
| P523092 | Other | | OXFORD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 000054 (Connecticut) | Secondary |
| 176B00000X | Midwife | (* (Not Available)) | 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. Ellen J Wormser allows following entities to bill medicare on her behalf.
| Entity Name | Fair Haven Community Health Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104803444
PECOS PAC ID: 4183511538
Enrollment ID: O20040302000135 |
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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. Ellen J Wormser 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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Ellen J Wormser, CNM LNM
85 Bedford Avenue,
Hamden, CT 06517
Ph: (203) 281-1345 | Ellen J Wormser, CNM LNM
374 Grand Avenue, Fair Haven Community Health Ctr,
New Haven, CT 06513
Ph: (203) 777-7411 |
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