| Joshua Todd Ellsworth, | |
|
231 S 30th St, Enid, OK 73701-6455 | |
| (580) 596-2800 | |
| (580) 596-2805 |
| Full Name | Joshua Todd Ellsworth |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 231 S 30th St, Enid, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073167821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4919 (Oklahoma) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Health Enid Hospital | Enid, OK | Hospital |
| St Mary's Regional Medical Center | Enid, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Salt Plains Health Center Inc | 9133201171 | 23 |
| Entity Name | Great Salt Plains Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881876738 PECOS PAC ID: 9133201171 Enrollment ID: O20080811000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Todd Ellsworth, 9208 Nw 72nd St, Hesston, KS 67062-6201 Ph: (620) 217-0295 | Joshua Todd Ellsworth, 231 S 30th St, Enid, OK 73701-6455 Ph: (580) 596-2800 |
Stephanie Arlene Whatley, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2821 N Van Buren St Ste B, Enid, OK 73703 Phone: 580-213-9794 Fax: 580-213-9795 |
Kelsey Danielle Landon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 825 E Owen K Garriott Rd, Enid, OK 73701 Phone: 405-844-4978 |
Hannah Marie Vaughan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 620 S Madison St Ste 209, Enid, OK 73701 Phone: 580-213-9741 Fax: 580-213-9740 |
Mrs. Margaret Lynn Crosby, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 S Van Buren St, Enid, OK 73703 Phone: 405-768-1113 |
Megan Nicole Daniels, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 401 S 3rd St, Enid, OK 73701 Phone: 580-977-1910 |
Mr. Arlyn Gail Wing, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 E Garriott Rd, Suite I, Enid, OK 73701 Phone: 580-213-9781 Fax: 580-213-9782 |
Courtland Schoenhals, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 231 S 30th St, Enid, OK 73701 Phone: 580-233-2900 |