| Andrew R Ellsworth, MD | |
|
400 22nd Ave, Brookings, SD 57006-2497 | |
| (605) 697-9500 | |
| (605) 697-6939 |
| Full Name | Andrew R Ellsworth |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 400 22nd Ave, Brookings, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568690758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8575 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brookings Hospital Hha | Brookings, SD | Home health agency |
| Brookings Health System | Brookings, SD | Hospital |
| United Living Community | Brookings, SD | Nursing home |
| The Neighborhoods At Brookview | Brookings, SD | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Of Brookings | 1052307105 | 95 |
| Rural Health Care Inc | 3476447541 | 135 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Entity Name | Rural Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720076441 PECOS PAC ID: 3476447541 Enrollment ID: O20040210000648 |
| Entity Name | City Of Brookings |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932281029 PECOS PAC ID: 1052307105 Enrollment ID: O20040423000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew R Ellsworth, MD 400 22nd Ave, Brookings, SD 57006-2497 Ph: (605) 697-9500 | Andrew R Ellsworth, MD 400 22nd Ave, Brookings, SD 57006-2497 Ph: (605) 697-9500 |
Dr. Debra J. Rodeghiero Johnston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 22nd Ave., Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 | |
Dr. Richard A. Wake, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 22nd Ave., Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 | |
April Kay Schneider, CNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1440 N Campus Dr., Brookings, SD 57007 Phone: 605-688-4157 Fax: 605-688-6895 | |
Dr. Jennifer Lea Olson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 922 22nd Ave S, Brookings, SD 57006 Phone: 605-697-1900 Fax: 605-697-1919 | |
Mr. Kenric D Malmberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 22nd Ave, Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 | |
Dr. Terrence Elliott Babb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 22nd Ave, Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 | |
Shaina L Riggs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 922 22nd Ave S, Brookings, SD 57006 Phone: 605-697-1900 |