Michael Ellsworth, PAA - Medicare Anesthesiologist Assistant in Atlanta, GA

Michael Ellsworth, PAA is a medicare enrolled "Anesthesiologist Assistant" in Atlanta, Georgia. His current practice location is 1001 Johnson Fy Rd Ne, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 785-2008.

Michael Ellsworth is licensed to practice in Georgia (license number 3720) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497705545.

Contact Information

Michael Ellsworth, PAA
1001 Johnson Fy Rd Ne,
Atlanta, GA 30342-1605
(404) 785-2008
(404) 785-4496



Provider's Profile

Full NameMichael Ellsworth
GenderMale
SpecialityAnesthesiologist Assistant
Location1001 Johnson Fy Rd Ne, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497705545
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 06/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0840581112
  • Enrollment ID: I20220105001012

Medical Identifiers

Medical identifiers for Michael Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497705545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 3720 (Georgia)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. Michael Ellsworth allows following entities to bill medicare on his behalf.
Entity NameChildren's Anesthesia Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437203098
PECOS PAC ID: 5092105932
Enrollment ID: O20211208000072

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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. Michael 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 AddressPractice Location Address
Michael Ellsworth, PAA
1001 Johnson Fy Rd Ne,
Atlanta, GA 30342-1605

Ph: (404) 785-2008
Michael Ellsworth, PAA
1001 Johnson Fy Rd Ne,
Atlanta, GA 30342-1605

Ph: (404) 785-2008

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Anesthesiologist Assistant Nurses in Atlanta, GA

Matthew Lewis, PAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322
Phone: 404-785-6670    Fax: 404-785-1362
Elizabeth Ikeda,
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322
Phone: 404-778-8311    
Amar R Herndon,
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    
Shelley S Staton, PAAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1000 Johnson Ferry Rd, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Mr. Grant Michael Mury, PAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308
Phone: 404-778-3900    
Ashley Schade, PAAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342
Phone: 706-543-3449    
Jiaqi Tracy Li, PAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342
Phone: 404-785-2008    Fax: 404-785-4496

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