| Matthew Mckinley Ellsworth, DPM | |
|
613 23rd St Ste G30, Ashland, KY 41101-2881 | |
| (606) 327-0036 | |
| (606) 326-1159 |
| Full Name | Matthew Mckinley Ellsworth |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 12 Years |
| Location | 613 23rd St Ste G30, Ashland, Kentucky |
| 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 |
|---|---|---|---|
| 1124387618 | NPI | - | NPPES |
| 7100351750 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 36.003921 (Ohio) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | 00426 (Kentucky) | Secondary |
| 213E00000X | Podiatrist | 00426 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kings Daughters Medical Specialties Inc | 6103968029 | 328 |
| Kings Daughters Medical Specialties Inc | 6103968029 | 328 |
| Provider Name | Kings Daughters Medical Specialties Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710215736 PECOS PAC ID: 6103968029 Enrollment ID: O20100217000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Mckinley Ellsworth, DPM Po Box 2379, Ashland, KY 41105-2379 Ph: (606) 408-6200 | Matthew Mckinley Ellsworth, DPM 613 23rd St Ste G30, Ashland, KY 41101-2881 Ph: (606) 327-0036 |
Ashland Footcare Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 841 29th St, Ashland, KY 41101 Phone: 606-324-1994 Fax: 606-324-2274 | |
Dr. Jerod Preston Darnell, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1000 Ashland Dr Ste 302, Ashland, KY 41101 Phone: 606-327-5454 Fax: 606-327-2776 | |
Mrs. Lauren Triplett-schweickart, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2201 Raintree Ct, Ashland, Ashland, KY 41101 Phone: 606-922-0803 Fax: 740-532-1157 | |
Jerod Darnell Dpm Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 1290 Montgomery Ave Ste B, Ashland, KY 41101 Phone: 606-327-5454 Fax: 606-327-2776 | |
Dr. Phillip Ray Dowdy Jr., D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1000 Ashland Dr, Ste. 105, Ashland, KY 41101 Phone: 606-833-6260 Fax: 606-833-6261 | |
Dr. Jess Daniel Songer, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 841 29th St, Ashland, KY 41101 Phone: 606-324-1994 Fax: 606-324-2274 |