Ronald K Ellsworth, MD is a medicare enrolled "Family Medicine" physician in Cascade, Idaho. He went to University Of Arizona College Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cascade Medical Center Hospital District and his current practice location is
402 Lake Cascade Pkwy, Cascade, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 382-4242.
Ronald K Ellsworth is licensed to practice in Idaho (license number M-11978) 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 1245556141.
Physician's Profile
| Full Name | Ronald K Ellsworth |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 14 Years |
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| Location | 402 Lake Cascade Pkwy, Cascade, Idaho |
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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:
- Ronald K Ellsworth attended and graduated from University Of Arizona College Of Medicine in 2010
NPI Data:
- NPI Number: 1245556141
- Provider Enumeration Date: 04/16/2010
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971778358
- Enrollment ID: I20130723000595
Medical Identifiers
Medical identifiers for Ronald K Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245556141 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | M-11978 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cascade Medical Center Hospital District | 6103739719 | 6 |
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. Ronald K Ellsworth allows following entities to bill medicare on his behalf.
| Entity Name | Cascade Medical Center Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003988825
PECOS PAC ID: 6103739719
Enrollment ID: O20040309001351 |
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| Entity Name | Shoshone Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043215437
PECOS PAC ID: 6103739107
Enrollment ID: O20050113001084 |
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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. Ronald K 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 |
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Ronald K Ellsworth, MD
Po Box 1330,
Cascade, ID 83611-1330
Ph: (208) 382-4242 | Ronald K Ellsworth, MD
402 Lake Cascade Pkwy,
Cascade, ID 83611-7702
Ph: (208) 382-4242 |
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