Mr Tracey G Wellendorf, MD - Medicare Otolaryngology in Carroll, IA

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.

Contact Information

Mr Tracey G Wellendorf, MD
405 S Clark St, Suite 215,
Carroll, IA 51401-3065
(712) 792-4368
(712) 792-2056



Physician's Profile

Full NameMr Tracey G Wellendorf
GenderMale
SpecialityOtolaryngology
Experience34 Years
Location405 S Clark St, Carroll, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1528057387NPI-NPPES
3124032MedicaidIA
5124032MedicaidIA
1124032MedicaidIA
6124032MedicaidIA
2124032MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 30594 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Anthony Regional Hospital & Nursing HomeCarroll, IAHospital
Buena Vista Regional Medical CenterStorm lake, IAHospital
Stewart Memorial Community HospitalLake city, IAHospital
Montgomery County Memorial HospitalRed oak, IAHospital
Humboldt County Memorial HospitalHumboldt, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellendorf Ent, P.c.28604872462

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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 NameWellendorf Ent, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
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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Otolaryngology Doctors in Carroll, IA

Jessica Leeds, MSN. ARNP, FNP-BC
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 311 S Clark St, Carroll, IA 51401
Phone: 712-792-4368    

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