Dr J Bryan Ellsworth, MD is a medicare enrolled "Specialist" physician in St George, Utah. He went to University Of Nevada School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Urology. His current practice location is
736 S 900 E Ste 108, St George, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 628-3606.
Dr J Bryan Ellsworth is licensed to practice in Utah (license number 188550-1205) 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 1083619043.
Physician's Profile
| Full Name | Dr J Bryan Ellsworth |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 33 Years |
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| Location | 736 S 900 E Ste 108, St George, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr J Bryan Ellsworth attended and graduated from University Of Nevada School Of Medicine in 1991
NPI Data:
- NPI Number: 1083619043
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 06/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163698648
- Enrollment ID: I20120224000426
Medical Identifiers
Medical identifiers for Dr J Bryan Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083619043 | NPI | - | NPPES |
| 005575530 | Other | UT | HUMANA |
| 6411882 | Other | UT | CIGNA |
| 751575 | Other | UT | DMBA |
| 870562879ELL | Other | UT | EMIA |
| V108245 | Other | NV | MEDICARE ID FOR NEVADA PRACTICE LOCATION |
| 68471 | Other | UT | PEHP |
| 18855012000001 | Other | UT | BC BS |
| 340020123 | Other | UT | RR MEDICARE |
| 107011798101 | Other | UT | IHC |
| QM0000076522 | Other | UT | ALTIUS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 15297 (Nevada) | Secondary |
| 174400000X | Specialist | 188550-1205 (Utah) | Primary |
Medical Facilities Affiliation
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. Dr J Bryan Ellsworth allows following entities to bill medicare on his behalf.
| Entity Name | Urology Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952436826
PECOS PAC ID: 3577591809
Enrollment ID: O20050728000767 |
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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. Dr J Bryan 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 |
|---|
Dr J Bryan Ellsworth, MD
736 S 900 E Ste 108,
St George, UT 84790-7002
Ph: (435) 628-3606 | Dr J Bryan Ellsworth, MD
736 S 900 E Ste 108,
St George, UT 84790
Ph: (435) 628-3606 |
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