Dr J Bryan Ellsworth, MD is a medicare enrolled "Specialist" physician in St George, Utah. His current practice location is
736 S 900 E Ste 108, St George, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 628-3606.
Dr J Bryan Ellsworth is licensed to practice in Utah (license number 188550-1205) 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 1083619043.
Physician's Profile
| Full Name | Dr J Bryan Ellsworth |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 736 S 900 E Ste 108, St George, Utah |
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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:
- Dr J Bryan Ellsworth attended and graduated from in
NPI Data:
- NPI Number: 1083619043
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 06/16/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr J Bryan Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083619043 | NPI | - | NPPES |
| 005575530 | Other | UT | HUMANA |
| 6411882 | Other | UT | CIGNA |
| 751575 | Other | UT | DMBA |
| 870562879ELL | Other | UT | EMIA |
| V108245 | Other | NV | MEDICARE ID FOR NEVADA PRACTICE LOCATION |
| 68471 | Other | UT | PEHP |
| 18855012000001 | Other | UT | BC BS |
| 340020123 | Other | UT | RR MEDICARE |
| 107011798101 | Other | UT | IHC |
| QM0000076522 | Other | UT | ALTIUS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 15297 (Nevada) | Secondary |
| 174400000X | Specialist | 188550-1205 (Utah) | Primary |
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 J Bryan 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 J Bryan Ellsworth, MD
736 S 900 E Ste 108,
St George, UT 84790-7002
Ph: (435) 628-3606 | Dr J Bryan Ellsworth, MD
736 S 900 E Ste 108,
St George, UT 84790
Ph: (435) 628-3606 |
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