Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prashula Ellsworth, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1013922723

Prashula Ellsworth, PHYSICIANASSISTANT is a Physician Assistant in Williamsville, New York. Qualified in 1999, 27 years ago. Practices with General Physician PC, a 487-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

6333 Main St Ste 2
Williamsville, NY 14221-5800
Phone: (716) 630-1164
Fax: (716) 630-2608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 007118-1 (NY)

Record details

NPI number1013922723
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 30, 2006
Last updated in NPPESSeptember 21, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice General Physician Pc — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Williamsville