German Ellsworth, - Medicare Preventive Medicine in Phoenix, AZ

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German Ellsworth, is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Phoenix, Arizona. His current practice location is 1111 E Mcdowell Rd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 839-2296.

German Ellsworth is licensed to practice in Utah (license number 9560102-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538579099.

Contact Information

German Ellsworth,
1111 E Mcdowell Rd,
Phoenix, AZ 85006-2612
(602) 839-2296
Not Available

Map and Direction




Physician's Profile

Full NameGerman Ellsworth
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location1111 E Mcdowell Rd, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538579099
  • Provider Enumeration Date: 05/05/2014
  • Last Update Date: 10/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3173826880
  • Enrollment ID: I20230807002378

Medical Identifiers

Medical identifiers for German Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538579099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R74408 (Arizona)Secondary
2083X0100XPreventive Medicine - Occupational Medicine 9560102-1205 (Utah)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. German Ellsworth allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Utah Community Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598169203
PECOS PAC ID: 9739403569
Enrollment ID: O20150126002118

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. German 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 AddressPractice Location Address
German Ellsworth,
30 N 1900 E, Rm 1c412,
Salt Lake City, UT 84132-0002

Ph: (602) 839-2296		German Ellsworth,
1111 E Mcdowell Rd,
Phoenix, AZ 85006-2612

Ph: (602) 839-2296

Reviews and Comments


Preventive Medicine Doctors in Phoenix, AZ

Dr. Ralph John Luciani I, D.O., M.D.(H)
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William C Knowler, M.D.
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Nicolau J Chamma, M.D.
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Dr. Rosalie E Banasiak, MD
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Practice Location: 12808 North Black Canyon Highway, Phoenix, AZ 85029
Phone: 602-375-1155    Fax: 602-866-9169
Gilbert T Webb Ii, THERAPY DIRECTOR
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Practice Location: 320 E Mcdowell Rd, Suite 105 & 325, Phoenix, AZ 85004
Phone: 615-778-4066    
Jacquelyn Island, M.D.
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Practice Location: 12808 N Black Canyon Hwy, Phoenix, AZ 85029
Phone: 615-778-4066    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.