Ryan L Ellsworth, LCSW, CADC I is a medicare enrolled "Social Worker - Clinical" provider in Welches, Oregon. He graduated from healthcare school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Orchid Oakridge Clinic Pc and his current practice location is
24461 E Welches Rd, Welches, Oregon. You can reach out to his office (for appointments etc.) via phone at
(971) 333-0494.
Ryan L Ellsworth is licensed to practice in Oregon (license number L8595) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013447309.
Healthcare Provider's Profile
| Full Name | Ryan L Ellsworth |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 8 Years |
|---|
| Location | 24461 E Welches Rd, Welches, Oregon |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Ryan L Ellsworth graduated from medical school in 2017
NPI Data:
- NPI Number: 1013447309
- Provider Enumeration Date: 06/19/2017
- Last Update Date: 02/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305382466
- Enrollment ID: I20240724004641
Medical Identifiers
Medical identifiers for Ryan L Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013447309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19-07-07 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | A4926 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L8595 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Orchid Oakridge Clinic Pc | 3476786609 | 24 |
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. Ryan L Ellsworth allows following entities to bill medicare on his behalf.
| Entity Name | Orchid Oakridge Clinic Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1588088983
PECOS PAC ID: 3476786609
Enrollment ID: O20140612000318 |
|---|
| Entity Name | Ah Addiction Care Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1295516128
PECOS PAC ID: 2668916214
Enrollment ID: O20240708000250 |
|---|
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. Ryan L 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 Address | Practice Location Address |
|---|
Ryan L Ellsworth, LCSW, CADC I
Po Box 729,
Welches, OR 97067-0729
Ph: (971) 333-0494 | Ryan L Ellsworth, LCSW, CADC I
24461 E Welches Rd,
Welches, OR 97067-7067
Ph: (971) 333-0494 |
Reviews and Comments