Bryan Ellertson, MD in Layton, UT

Bryan Ellertson, MD is a medicare enrolled "Pediatrics" physician in Layton, Utah. His current practice location is 2121 N 1700 W, Layton, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 773-4840.

Bryan Ellertson is licensed to practice in Utah (license number 89635601205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881989143.

Contact Information

	Bryan Ellertson, MD
	2121 N 1700 W, Layton, UT 84041-8803
	(801) 773-4840
	(801) 525-8151

Map and Direction

Physician's Profile

Full Name	Bryan Ellertson
Gender	Male
Speciality	Pediatrics
Location	2121 N 1700 W, Layton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881989143
Provider Enumeration Date: 06/15/2011
Last Update Date: 12/08/2015

Medicare PECOS Information:

PECOS PAC ID: 5597905216
Enrollment ID: I20151216000917

Medical Identifiers

Medical identifiers for Bryan Ellertson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881989143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	89635601205 (Utah)	Primary

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. Bryan Ellertson allows following entities to bill medicare on his behalf.

Entity Name	Tanner Memorial Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132

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. Bryan Ellertson 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
Bryan Ellertson, MD Po Box 337, Layton, UT 84041-0337 Ph: (801) 773-4840	Bryan Ellertson, MD 2121 N 1700 W, Layton, UT 84041-8803 Ph: (801) 773-4840

Reviews and Comments

Pediatrics Doctors in Layton, UT

Michael Patrick Husseman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2084 N 1700 W, Suite A, Layton, UT 84041 Phone: 801-773-8644 Fax: 801-773-9828
Jennifer M Gilsoul, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2084 N 1700 W, Suite A, Layton, UT 84041 Phone: 801-773-8644 Fax: 801-773-9828
Colton Lee Ragsdale, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2084 N 1700 W, Suite A, Layton, UT 84041 Phone: 801-773-8644 Fax: 801-927-1591
Frank D Kramer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151
Dr. Mari Suto Luce, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2244 E 3500 N, Layton, UT 84040 Phone: 801-387-4500
Steven Jonathan Williams, Pediatrics Medicare: Medicare Enrolled Practice Location: 3225 W Gordon Ave Ste 1, Layton, UT 84041 Phone: 801-397-6150
Noel C Nye, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151

Bryan Ellertson, MD - Medicare Pediatrics in Layton, UT