Susannah G Ellsworth, MD in Indianapolis, IN - Medicare Radiation Oncology

Susannah G Ellsworth, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Indianapolis, Indiana. She went to University Of Maryland School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Radiation Oncology. She is a member of the group practice University Of Pittsburgh Cancer Institute Cancer Services and her current practice location is 550 University Blvd, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 944-2524.

Susannah G Ellsworth is licensed to practice in Indiana (license number 01075059A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336283951.

Contact Information

	Susannah G Ellsworth, MD
	550 University Blvd, Indianapolis, IN 46202-5149
	(317) 944-2524
	Not Available

Map and Direction

Physician's Profile

Full Name	Susannah G Ellsworth
Gender	Female
Speciality	Radiation Oncology
Experience	20 Years
Location	550 University Blvd, Indianapolis, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susannah G Ellsworth attended and graduated from University Of Maryland School Of Medicine in 2005

NPI Data:

NPI Number: 1336283951
Provider Enumeration Date: 02/16/2007
Last Update Date: 03/15/2016

Medicare PECOS Information:

PECOS PAC ID: 9335397884
Enrollment ID: I20200422003031

Medical Identifiers

Medical identifiers for Susannah G Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336283951	NPI	-	NPPES
201286120	Medicaid	IN
057572100	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	D0071963 (Maryland)	Secondary
2085R0001X	Radiology - Radiation Oncology	01075059A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Upmc Presbyterian Shadyside	Pittsburgh, PA	Hospital
Magee Womens Hospital Of Upmc Health System	Pittsburgh, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Pittsburgh Cancer Institute Cancer Services	6709771587	49

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. Susannah G Ellsworth allows following entities to bill medicare on her behalf.

Entity Name	University Of Pittsburgh Cancer Institute Cancer Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427025840 PECOS PAC ID: 6709771587 Enrollment ID: O20040219000811

Entity Name	University Of Pittsburgh Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883

Entity Name	Upmc And The Washington Hospital Cancer Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053417527 PECOS PAC ID: 5991702391 Enrollment ID: O20061027000127

Entity Name	Upmc/st Clair Hospital Cancer Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306138169 PECOS PAC ID: 9638349558 Enrollment ID: O20110902000010

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. Susannah G 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
Susannah G Ellsworth, MD 250 N Shadeland Ave, Suite 130 - Provider Enrollment, Indianapolis, IN 46219-4959 Ph: (410) 933-7400	Susannah G Ellsworth, MD 550 University Blvd, Indianapolis, IN 46202-5149 Ph: (317) 944-2524

Reviews and Comments

Radiology Doctors in Indianapolis, IN

Jack David Markiewicz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-278-9729
Dr. Caryn C Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Technology Center Dr, Indianapolis, IN 46278 Phone: 317-328-4777 Fax: 317-715-9965
Dr. Stefan Andrew Hoff, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-806-8260 Fax: 317-806-8296
Sean David Gussick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Radiology Dept, Indianapolis, IN 46202 Phone: 317-962-5740
Mark J Paluszny, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130
Angela G Pence, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130
Dr. Hal D Kipfer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202 Phone: 317-962-6793 Fax: 317-962-8281

Susannah G Ellsworth, MD - Medicare Radiation Oncology in Indianapolis, IN