Ellen Holbrook Beth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA4001 Issued in MA

Practice address

135 E Main St
New Britain, CT 06051-1914

Phone

(860) 357-6899

Fax

(860) 357-6898

NPI assigned

Jul 26, 2010

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose and Throat Institute of Connecticut PLLCGroup PAC ID 4284078296, 25 clinicians

Afc Physicians of Connecticut PCGroup PAC ID 5193966893, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ebeth639092@direct.ynhh.org
• Direct secure messaging: ellen.beth.npi1740594282.phpct@direct.optumcare.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Afc Physicians of Connecticut, PC

  • Urgent Care Clinic/Center
  • Danbury, CT
  • NPI 1003152984
  Medicare reassignment Care Compare group
• Ear, Nose & Throat Institute of Connecticut PLLC

  • Otolaryngology Physician
  • Farmington, CT
  • NPI 1316724891
  Medicare reassignment Care Compare group
• Lawrence and Memorial Hospital, Inc.

  dba Lawrence and Memorial Hospital

  • General Acute Care Hospital
  • New London, CT
  • NPI 1073530879

  Physician Assistant

  Medicare reassignment NPD
• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  Medicare reassignment
• Afc Physicians of Connecticut, PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Rocky Hill, CT
  • NPI 1285387530
  NPD
• Ctuc01

  • Urgent Care Clinic/Center
  • Vernon, CT
  • NPI 1922539592
  NPD
• Lawrence and Memorial Hospital, Inc.

  dba Yale New Haven Health Pharmacy - Lawrence and Memorial Hospital

  • Community/Retail Pharmacy
  • New London, CT
  • NPI 1184402331
  NPD
• Emergency Medicine Physicians of Washington County, LLC

  • Emergency Medicine Physician
  • Westerly, RI
  • NPI 1821434580
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lawrence and Memorial Hospital, Inc.

  dba Lawrence and Memorial Hospital

  • General Acute Care Hospital
  • New London, CT
  • NPI 1073530879
  Care Compare affiliation
• Lawrence and Memorial Hospital, Inc.

  dba Lawrence and Memorial Hospital

  • General Acute Care Hospital
  • New London, CT
  • NPI 1700092459
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1740594282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511914",
            "telephone_number": "860-357-6899",
            "fax_number": "860-357-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511914",
            "telephone_number": "860-357-6899",
            "fax_number": "860-357-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETH",
        "first_name": "ELLEN",
        "middle_name": "HOLBROOK",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Irwin Berman, M.D.
• David Ben Bernard, D.D.S.
• Ashley Bessette, OTR/L
• Susan Yanet Betalleluz, LCSW
• Helen Betgivargis, LA.C.
• Laura Elizabeth Beveridge, APRN
• Mohamad Beydoun, DMD
• Mary Jane Bezares, LPC
• Sudhir K Bhatnagar, MD
• Nirmala Bhatt, MD

• Physician Assistant in New Britain, CT
• Providers in New Britain, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.