Ken Richard Ellzey, MD - Medicare Family Medicine in Clovis, CA

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Ken Richard Ellzey, MD is a medicare enrolled "Family Medicine" physician in Clovis, California. His current practice location is 2071 Herndon Ave, Clovis, California. You can reach out to his office (for appointments etc.) via phone at (559) 324-5100.

Ken Richard Ellzey is licensed to practice in California (license number C40990) 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 1861571903.

Contact Information

Ken Richard Ellzey, MD
2071 Herndon Ave,
Clovis, CA 93611-6101
(559) 324-5100
Not Available

Map and Direction




Physician's Profile

Full NameKen Richard Ellzey
GenderMale
SpecialityFamily Medicine
Location2071 Herndon Ave, Clovis, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861571903
  • Provider Enumeration Date: 11/02/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7719971951
  • Enrollment ID: I20040412000981

Medical Identifiers

Medical identifiers for Ken Richard Ellzey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861571903NPI-NPPES
00C409900MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine C40990 (California)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. Ken Richard Ellzey allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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. Ken Richard Ellzey 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 AddressPractice Location Address
Ken Richard Ellzey, MD
1800 Harrison St Fl 7,
Oakland, CA 94612-3429

Ph: (510) 625-6262		Ken Richard Ellzey, MD
2071 Herndon Ave,
Clovis, CA 93611-6101

Ph: (559) 324-5100

Reviews and Comments


Family Medicine Doctors in Clovis, CA

David Malekooti, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2740 Herndon Ave, Clovis, CA 93611
Phone: 559-299-2608    
Dr. Meenakshi Dhingra, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2740 Herndon Ave, Clovis, CA 93611
Phone: 559-299-2608    Fax: 559-299-1341
Dr. Nadia Javaid, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2006 Shaw Ave Ste 101, Clovis, CA 93611
Phone: 559-450-5880    Fax: 559-450-5881
Umair Khalid, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2006 Shaw Ave, Clovis, CA 93611
Phone: 559-450-5880    Fax: 559-450-5881
Ms. Jyothi Ranga Patri, M.D., MHA
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2740 Herndon Ave, Clovis, CA 93611
Phone: 559-299-2578    
Jeffrey Todd Gardner, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 221 W Fir Ave #101, Clovis, CA 93611
Phone: 559-299-7294    Fax: 559-299-0641
Kevin Wingert, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2131 Herndon Ave Ste 101, Clovis, CA 93611
Phone: 559-297-3700    Fax: 559-297-3701

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.