Dr Kurt Richard Ellenberger, MD in Beaufort, SC

Dr Kurt Richard Ellenberger, MD is a medicare enrolled "Pediatrics" physician in Beaufort, South Carolina. His current practice location is Beaufort Memorial Express Care & Occupational Health, 974 Ribaut Rd, Beaufort, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 524-3344.

Dr Kurt Richard Ellenberger is licensed to practice in South Carolina (license number 19453) 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 1053376111.

Contact Information

	Dr Kurt Richard Ellenberger, MD
	Beaufort Memorial Express Care & Occupational Health, 974 Ribaut Rd, Beaufort, SC 29902
	(843) 524-3344
	(844) 295-9894

Map and Direction

Physician's Profile

Full Name	Dr Kurt Richard Ellenberger
Gender	Male
Speciality	Pediatrics
Location	Beaufort Memorial Express Care & Occupational Health, Beaufort, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053376111
Provider Enumeration Date: 04/19/2006
Last Update Date: 05/08/2019

Medicare PECOS Information:

PECOS PAC ID: 7113161415
Enrollment ID: I20160329002373

Medical Identifiers

Medical identifiers for Dr Kurt Richard Ellenberger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053376111	NPI	-	NPPES
194532	Medicaid	SC
19453	Other	SC	SC LICENSE BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	19453 (South Carolina)	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. Dr Kurt Richard Ellenberger allows following entities to bill medicare on his behalf.

Entity Name	Beaufort County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871335018 PECOS PAC ID: 7810809365 Enrollment ID: O20050208000354

Entity Name	Beaufort County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598713117 PECOS PAC ID: 7810809365 Enrollment ID: O20050518001061

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 Kurt Richard Ellenberger 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 Kurt Richard Ellenberger, MD 955 Ribaut Rd, Bmac Credentialing, Beaufort, SC 29902-5441 Ph: (843) 522-5674	Dr Kurt Richard Ellenberger, MD Beaufort Memorial Express Care & Occupational Health, 974 Ribaut Rd, Beaufort, SC 29902 Ph: (843) 524-3344

Reviews and Comments

Pediatrics Doctors in Beaufort, SC

Karen L Keane, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2403 Allison Rd, Beaufort, SC 29902 Phone: 543-524-1078 Fax: 843-524-1137
Yolanda Dreier, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 964 Ribaut Rd Ste 1, Beaufort, SC 29902 Phone: 843-524-5437 Fax: 843-524-0425
Dr. Francis Edwards Rushton Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 964 Ribaut Rd, Suite 1, Beaufort, SC 29902 Phone: 842-524-5437
Dr. Joseph H Floyd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 964 Ribaut Rd, Beaufort, SC 29902 Phone: 843-524-5437 Fax: 843-524-0425
Timothy E Keane, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2403 Allison Rd, Beaufort, SC 29902 Phone: 843-524-1078 Fax: 843-524-1137
Dr. Christina D Lester, PNP Pediatrics Medicare: Medicare Enrolled Practice Location: 2403 Allison Rd, Beaufort, SC 29902 Phone: 843-524-1078 Fax: 843-524-1137

Dr Kurt Richard Ellenberger, MD - Medicare Pediatrics in Beaufort, SC