Dr Heather Ellsworth, MD in St Paul, MN - Medicare Emergency Medicine

Dr Heather Ellsworth, MD is a medicare enrolled "Emergency Medicine" physician in St Paul, Minnesota. Her current practice location is 640 Jackson Street, Regions Hospital, St Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 254-3456.

Dr Heather Ellsworth is licensed to practice in Minnesota (license number 52983) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942473335.

Contact Information

	Dr Heather Ellsworth, MD
	640 Jackson Street, Regions Hospital, St Paul, MN 55101
	(651) 254-3456
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Heather Ellsworth
Gender	Female
Speciality	Emergency Medicine
Location	640 Jackson Street, St Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942473335
Provider Enumeration Date: 04/08/2008
Last Update Date: 02/15/2011

Medicare PECOS Information:

PECOS PAC ID: 1355467341
Enrollment ID: I20121113000138

Medical Identifiers

Medical identifiers for Dr Heather Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942473335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	52983 (Minnesota)	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. Dr Heather Ellsworth allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899

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. Dr Heather 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
Dr Heather Ellsworth, MD 640 Jackson Street, Regions Hospital, St Paul, MN 55101 Ph: (651) 254-3456	Dr Heather Ellsworth, MD 640 Jackson Street, Regions Hospital, St Paul, MN 55101 Ph: (651) 254-3456

Reviews and Comments

Emergency Medicine Doctors in St Paul, MN

Felix K Ankel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Jackson Street, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216
Ralph J Frascone, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson Street, Mc11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216
Peter Kumasaka, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216
Kellee A Street, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 345 North Smith Avenue, Childrens Hospitals And Clinics Of Minnesota Emergency, St Paul, MN 55102 Phone: 651-220-6914
Michael D Zwank, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216
Donna M Milner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 345 North Smith Avenue, Childrens Hospitals And Clinics Emergency Physicians, St Paul, MN 55102 Phone: 651-220-6914
Barbara C Letourneau, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216

Dr Heather Ellsworth, MD - Medicare Emergency Medicine in St Paul, MN