Dr Jeremiah Ellingsworth, DO in Indianapolis, IN - Medicare Psychiatry & Neurology

Dr Jeremiah Ellingsworth, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Indianapolis, Indiana. His current practice location is 1002 Wishard Blvd Ste 4016, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 274-6450.

Dr Jeremiah Ellingsworth is licensed to practice in Indiana (license number 02006805A) 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 1992268437.

Contact Information

	Dr Jeremiah Ellingsworth, DO
	1002 Wishard Blvd Ste 4016, Indianapolis, IN 46202-4164
	(317) 274-6450
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jeremiah Ellingsworth
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	1002 Wishard Blvd Ste 4016, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992268437
Provider Enumeration Date: 04/11/2019
Last Update Date: 06/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5496187882
Enrollment ID: I20230911003840

Medical Identifiers

Medical identifiers for Dr Jeremiah Ellingsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992268437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	T-3765 (Mississippi)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	02006805A (Indiana)	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 Jeremiah Ellingsworth allows following entities to bill medicare on his behalf.

Entity Name	Union Associated Physicians Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002

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 Jeremiah Ellingsworth 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 Jeremiah Ellingsworth, DO 1002 Wishard Blvd Ste 4016, Indianapolis, IN 46202-4164 Ph: (317) 274-6450	Dr Jeremiah Ellingsworth, DO 1002 Wishard Blvd Ste 4016, Indianapolis, IN 46202-4164 Ph: (317) 274-6450

Reviews and Comments

Psychiatry & Neurology Doctors in Indianapolis, IN

Dr. John Robert Hayes, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Lilly Corporate Ctr, Indianapolis, IN 46285 Phone: 317-433-6270 Fax: 317-433-2794
Madison Ott, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1120 W Michigan St # Cl630, Indianapolis, IN 46202 Phone: 317-278-2686
Priyanka Reddy, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-944-8162
Dr. Emily Leilani Cooper, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 355 W. 16th Street, #2364, Indianapolis, IN 46202 Phone: 317-963-7307
Andrew T Filipowicz, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 355 W 16th St, Indianapolis, IN 46202 Phone: 317-963-7307
David J Posey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9106 N Meridian St, Ste 210, Indianapolis, IN 46260 Phone: 317-341-4575
Judith M Bealke, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 702 Barnhill Dr, Rm. 4300, Indianapolis, IN 46202 Phone: 317-274-8162

Dr Jeremiah Ellingsworth, DO - Medicare Psychiatry & Neurology in Indianapolis, IN