Ellsworth Medical Group Llc - Medicare in Queen Creek, AZ

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Ellsworth Medical Group Llc is a medicare enrolled "General Practice" provider in Queen Creek, Arizona. Their current practice location is 21323 S Ellsworth Loop Rd Ste 101, Queen Creek, Arizona. You can reach out to their office (for appointments etc.) via phone at (480) 307-8440.

Ellsworth Medical Group Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ellsworth Medical Group Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1467928804.

Contact Information

Ellsworth Medical Group Llc
21323 S Ellsworth Loop Rd Ste 101,
Queen Creek, AZ 85142-9865
(480) 307-8440
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEllsworth Medical Group Llc
TypeFacility
SpecialityGeneral Practice
Location21323 S Ellsworth Loop Rd Ste 101, Queen Creek, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467928804
  • Provider Enumeration Date: 10/23/2018
  • Last Update Date: 01/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082959267
  • Enrollment ID: O20181215000576

Medical Identifiers

Medical identifiers for Ellsworth Medical Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467928804NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary
225100000XPhysical Therapist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ellsworth Medical Group Llc acts as a billing entity for following providers:
Provider NameJohn J Koc
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1659429215
PECOS PAC ID: 1951200609
Enrollment ID: I20040102000119
Provider NameSonja Gerard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366719965
PECOS PAC ID: 0941460018
Enrollment ID: I20120327000757
Provider NameOrlando Hubbell
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1225410467
PECOS PAC ID: 5799089785
Enrollment ID: I20160211002426
Provider NameLisa Lombard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083784987
PECOS PAC ID: 1355376781
Enrollment ID: I20160309001615
Provider NameCollin S Cragun
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1770003816
PECOS PAC ID: 8426328741
Enrollment ID: I20170927002321
Provider NameGenesis Larkins
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1194426080
PECOS PAC ID: 3072988559
Enrollment ID: I20230414001567

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. Ellsworth Medical Group Llc 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
Ellsworth Medical Group Llc
Po Box 6610,
Chandler, AZ 85246-6610

Ph: (480) 926-7800		Ellsworth Medical Group Llc
21323 S Ellsworth Loop Rd Ste 101,
Queen Creek, AZ 85142-9865

Ph: (480) 307-8440

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.