Andrew R Ellsworth, MD - Medicare Family Practice in Brookings, SD

Andrew R Ellsworth, MD is a medicare enrolled "Family Medicine" physician in Brookings, South Dakota. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice City Of Brookings, Rural Health Care Inc and his current practice location is 400 22nd Ave, Brookings, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 697-9500.

Andrew R Ellsworth is licensed to practice in South Dakota (license number 8575) 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 1568690758.

Contact Information

Andrew R Ellsworth, MD
400 22nd Ave,
Brookings, SD 57006-2497
(605) 697-9500
(605) 697-6939

Map and Direction




Physician's Profile

Full NameAndrew R Ellsworth
GenderMale
SpecialityFamily Practice
Experience15 Years
Location400 22nd Ave, Brookings, South Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrew R Ellsworth attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 2009
  NPI Data:
  • NPI Number: 1568690758
  • Provider Enumeration Date: 06/25/2009
  • Last Update Date: 09/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6507015724
  • Enrollment ID: I20121003000820

Medical Identifiers

Medical identifiers for Andrew R Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568690758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 8575 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Brookings Hospital HhaBrookings, SDHome health agency
Brookings Health SystemBrookings, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
City Of Brookings105230710585
Rural Health Care Inc3476447541130

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. Andrew R Ellsworth allows following entities to bill medicare on his behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117
Entity NameRural Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720076441
PECOS PAC ID: 3476447541
Enrollment ID: O20040210000648
Entity NameCity Of Brookings
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932281029
PECOS PAC ID: 1052307105
Enrollment ID: O20040423000002

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. Andrew R 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 AddressPractice 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

Reviews and Comments


Family Medicine Doctors in Brookings, SD

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    

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.