Kaitlin Hathaway Ellis, MD - Medicare Obstetrics & Gynecology in Providence, RI

Kaitlin Hathaway Ellis, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Providence, Rhode Island. Her current practice location is 101 Dudley St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 227-3669.

Kaitlin Hathaway Ellis is licensed to practice in Rhode Island (license number LP05444) 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 1821675307.

Contact Information

Kaitlin Hathaway Ellis, MD
101 Dudley St,
Providence, RI 02905-2401
(401) 227-3669
Not Available



Physician's Profile

Full NameKaitlin Hathaway Ellis
GenderFemale
SpecialityObstetrics & Gynecology
Location101 Dudley St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821675307
  • Provider Enumeration Date: 03/29/2021
  • Last Update Date: 06/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385045046
  • Enrollment ID: I20210701001718

Medical Identifiers

Medical identifiers for Kaitlin Hathaway Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821675307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology LP05444 (Rhode Island)Primary

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. Kaitlin Hathaway Ellis 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
Kaitlin Hathaway Ellis, MD
11 John St,
Providence, RI 02906-1007

Ph: (203) 247-9139
Kaitlin Hathaway Ellis, MD
101 Dudley St,
Providence, RI 02905-2401

Ph: (401) 227-3669

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Obstetrics & Gynecology Doctors in Providence, RI

Donald Ramos, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 695 Eddy St, Providence, RI 02903
Phone: 401-272-1550    Fax: 401-421-8792
Brittany S Hampton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1100    
Dr. Jane R. Sharp, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 297 Promenade St, Providence, RI 02908
Phone: 401-490-6464    
Dr. Katharine D Wenstrom, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 101 Dudley Street, 3rd Floor, Women & Infants Hospital Of Rhode Island/mfm Division, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7622
Rebecca Crichton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    
Heather A Smith, MD, MPH
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    
Meena Theva, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    

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