Jill Ellsworth, FNP-C in Ellisville, MO - Medicare Nurse Practitioner

Jill Ellsworth, FNP-C is a medicare enrolled "Nurse Practitioner" in Ellisville, Missouri. Her current practice location is 16105 Manchester Rd, Ellisville, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 687-2718.

Jill Ellsworth is licensed to practice in Missouri (license number 2016002971) 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 1790145910.

Contact Information

	Jill Ellsworth, FNP-C
	16105 Manchester Rd, Ellisville, MO 63011-2001
	(314) 687-2718
	Not Available

Map and Direction

Provider's Profile

Full Name	Jill Ellsworth
Gender	Female
Speciality	Nurse Practitioner
Location	16105 Manchester Rd, Ellisville, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790145910
Provider Enumeration Date: 03/01/2016
Last Update Date: 11/10/2020

Medicare PECOS Information:

PECOS PAC ID: 5991090417
Enrollment ID: I20160823002641

Medical Identifiers

Medical identifiers for Jill Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790145910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2016002971 (Missouri)	Secondary
363L00000X	Nurse Practitioner	2016002971 (Missouri)	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. Jill Ellsworth allows following entities to bill medicare on her behalf.

Entity Name	Community Treatment Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598781189 PECOS PAC ID: 0749171585 Enrollment ID: O20040325000428

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. Jill 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
Jill Ellsworth, FNP-C Po Box 955534, Saint Louis, MO 63195-5534 Ph: () -	Jill Ellsworth, FNP-C 16105 Manchester Rd, Ellisville, MO 63011-2001 Ph: (314) 687-2718

Reviews and Comments

Nurse Practitioner Nurses in Ellisville, MO

Mrs. Lisa Munch, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 233 Clarkson Rd, Ellisville, MO 63011 Phone: 636-256-8644
Mrs. Patricia L Pitman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Clarkson Rd, Ellisville, MO 63011 Phone: 636-685-7715 Fax: 314-590-5916
Audrey Heath, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 233 Clarkson Rd, Ellisville, MO 63011 Phone: 636-256-8644
Mr. David M Draney, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16105 Manchester Rd, Ellisville, MO 63011 Phone: 314-687-2718
Tabitha Marie Braun, BSN, RN, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 233 Clarkson Rd, Ellisville, MO 63011 Phone: 636-256-8644
Mrs. Mary Elizabeth Orris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 233 Clarkson Rd, Ellisville, MO 63011 Phone: 636-256-8644
Mary Patricia Curtis, RN NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 713 Redstart Dr, Ellisville, MO 63021 Phone: 636-230-5646

Jill Ellsworth, FNP-C - Medicare Nurse Practitioner in Ellisville, MO