Dr J Bryan Ellsworth, MD | |
736 S 900 E Ste 108, St George, UT 84790 | |
(435) 628-3606 | |
(435) 628-8404 |
Full Name | Dr J Bryan Ellsworth |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 33 Years |
Location | 736 S 900 E Ste 108, St George, Utah |
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 |
---|---|---|---|
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 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 15297 (Nevada) | Secondary |
174400000X | Specialist | 188550-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Zion's Way Home Health | St george, UT | Home health agency |
Desert View Home Health Inc | Las vegas, NV | Home health agency |
Dixie Regional Medical Center | St george, UT | Hospital |
Mesa View Regional Hospital | Mesquite, NV | Hospital |
Cedar City Hospital | Cedar city, UT | Hospital |
Grover C Dils Medical Center | Caliente, NV | Hospital |
Kane County Hospital | Kanab, UT | Hospital |
Entity Name | Urology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952436826 PECOS PAC ID: 3577591809 Enrollment ID: O20050728000767 |
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 |