Brandon D Ellsworth, MD in Grand Rapids, MI

Brandon D Ellsworth, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Grand Rapids, Michigan. He went to Loma Linda University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Pathology Associates Of Grand Rapids Pc and his current practice location is 200 Jefferson Ave Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 364-6700.

Brandon D Ellsworth is licensed to practice in Michigan (license number 4301102483) 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 1689848459.

Contact Information

	Brandon D Ellsworth, MD
	200 Jefferson Ave Se, Grand Rapids, MI 49503-4502
	(616) 364-6700
	Not Available

Map and Direction

Physician's Profile

Full Name	Brandon D Ellsworth
Gender	Male
Speciality	Pathology
Experience	17 Years
Location	200 Jefferson Ave Se, Grand Rapids, Michigan
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:

Brandon D Ellsworth attended and graduated from Loma Linda University School Of Medicine in 2007

NPI Data:

NPI Number: 1689848459
Provider Enumeration Date: 04/14/2008
Last Update Date: 07/14/2021

Medicare PECOS Information:

PECOS PAC ID: 9133368673
Enrollment ID: I20130613000532

Medical Identifiers

Medical identifiers for Brandon D Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689848459	NPI	-	NPPES
1689848459	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	4301102483 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Health Saint Mary's	Grand rapids, MI	Hospital
Spectrum Health	Grand rapids, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pathology Associates Of Grand Rapids Pc	5698677573	9

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. Brandon D Ellsworth allows following entities to bill medicare on his behalf.

Entity Name	Pathology Associates Of Grand Rapids Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184636821 PECOS PAC ID: 5698677573 Enrollment ID: O20040122000025

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. Brandon D 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
Brandon D Ellsworth, MD Po Box 1629, Lima, OH 45802-1629 Ph: (877) 378-4293	Brandon D Ellsworth, MD 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 Ph: (616) 364-6700

Reviews and Comments

Pathology Doctors in Grand Rapids, MI

Meggen Walsh, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: Michigan Pathology Specialists, 35 Michigan Street Ne, Grand Rapids, MI 49503 Phone: 616-267-2350 Fax: 616-267-2351
Dr. Jennifer Stumph, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1840 Fax: 616-391-8875
Dr. Frances Lucianne Rosario Quinones, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 35 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-267-2660
Dr. Elizabeth Ann Steensma, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503 Phone: 616-486-9600
John Stephen Ebrom, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-364-6700 Fax: 616-364-4960
Lee Ann Weitekamp, MD Pathology Medicare: Medicare Enrolled Practice Location: 1036 Fuller Ave Ne, Grand Rapids, MI 49503 Phone: 616-233-8574
Dr. Timothy Pancioli, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: 1036 Fuller Ave Ne, Grand Rapids, MI 49503 Phone: 248-898-5000

Brandon D Ellsworth, MD - Medicare Pathology in Grand Rapids, MI