| Dr Brian K Ellefsen, DO | |
|
2100 W Main St, Sedalia, MO 65301-2351 | |
| (660) 826-5750 | |
| (660) 829-5750 |
| Full Name | Dr Brian K Ellefsen |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 38 Years |
| Location | 2100 W Main St, Sedalia, Missouri |
| 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 |
|---|---|---|---|
| 1871694760 | NPI | - | NPPES |
| 200015237 | Other | MO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | R5N34 (Missouri) | Primary |
| 207X00000X | Orthopaedic Surgery | DOR5N34 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nevada Regional Medical Center | Nevada, MO | Hospital |
| Bothwell Regional Health Center | Sedalia, MO | Hospital |
| Golden Valley Memorial Hospital | Clinton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Missouri Valley Sports Medicine And Orthopedics Inc | 6608270061 | 2 |
| Nevada City Hospital | 9830095280 | 73 |
| Entity Name | Nevada City Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942283866 PECOS PAC ID: 9830095280 Enrollment ID: O20031208001009 |
| Entity Name | Missouri Valley Sports Medicine And Orthopedics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023487709 PECOS PAC ID: 6608270061 Enrollment ID: O20210806000612 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian K Ellefsen, DO 2100 W Main St, Sedalia, MO 65301-2351 Ph: (660) 826-5750 | Dr Brian K Ellefsen, DO 2100 W Main St, Sedalia, MO 65301-2351 Ph: (660) 826-5750 |
Douglas W Kiburz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2301 S Ingram Ave, Sedalia, MO 65301 Phone: 660-826-5890 | |
Evan Ray Stout, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2301 S Ingram Ave, Sedalia, MO 65301 Phone: 660-826-5890 Fax: 660-826-4802 | |
Ryan K Edwards, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2301 S Ingram Ave, Sedalia, MO 65301 Phone: 660-827-0505 Fax: 660-826-4802 |