Dr Ellen Lille Ellsworth, OD - Medicare Optometrist in Mentor, OH

Dr Ellen Lille Ellsworth, OD is a medicare enrolled "Optometrist" provider in Mentor, Ohio. She went to Ohio State University - College Of Optometry and graduated in 1991 and has 33 years of diverse experience with area of expertise as Optometry. Her current practice location is 9930 Johnnycake Ridge Rd, Suite 4b, Mentor, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 352-8031.

Dr Ellen Lille Ellsworth is licensed to practice in Ohio (license number 4277 T228) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437297264.

Contact Information

Dr Ellen Lille Ellsworth, OD
9930 Johnnycake Ridge Rd, Suite 4b,
Mentor, OH 44060-6752
(440) 352-8031
(440) 352-7671



Healthcare Provider's Profile

Full NameDr Ellen Lille Ellsworth
GenderFemale
SpecialityOptometry
Experience33 Years
Location9930 Johnnycake Ridge Rd, Mentor, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ellen Lille Ellsworth attended and graduated from Ohio State University - College Of Optometry in 1991
  NPI Data:
  • NPI Number: 1437297264
  • Provider Enumeration Date: 02/02/2007
  • Last Update Date: 07/02/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4880709237
  • Enrollment ID: I20120113000419

Medical Identifiers

Medical identifiers for Dr Ellen Lille Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437297264NPI-NPPES
0841316MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4277 T228 (Ohio)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. Dr Ellen Lille Ellsworth allows following entities to bill medicare on her behalf.
Provider NameEllen L. Ellsworth, Od Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1568642890
PECOS PAC ID: 3274653704
Enrollment ID: O20120113000396

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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. Dr Ellen Lille 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
Dr Ellen Lille Ellsworth, OD
9930 Johnnycake Ridge Rd, Suite 4b,
Mentor, OH 44060-6752

Ph: (440) 352-8031
Dr Ellen Lille Ellsworth, OD
9930 Johnnycake Ridge Rd, Suite 4b,
Mentor, OH 44060-6752

Ph: (440) 352-8031

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Optometrist in Mentor, OH

Sandra K Jones, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 7200 Mentor Ave, Mentor, OH 44060
Phone: 440-946-8809    Fax: 440-269-7942
Dr. Robert M Cherne, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 9000 Mentor Ave Ste 102, Mentor, OH 44060
Phone: 216-383-0100    Fax: 216-383-6481
Dr. Donald James Hendley, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 9303 Mentor Avenue, Mentor, OH 44060
Phone: 440-974-3303    
Dr. Jocelyn Rose Pettitt, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 7200 Mentor Ave, Mentor, OH 44060
Phone: 440-946-8809    Fax: 440-269-7942
Great Lakes Eyecare, Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 7348 Mentor Ave, Mentor, OH 44060
Phone: 440-953-2020    Fax: 440-953-2030
Prof. Robert Waldman, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 8900 Mentor Ave, Suite B, Mentor, OH 44060
Phone: 440-255-7727    
Dr. Kenneth Andrew Boyle Sr., OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 7875 Johnny Cake Ridge Rd, Great Lakes Mall, Mentor, OH 44060
Phone: 440-255-2176    Fax: 440-255-1094

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