Jesse Ellsworth, - Medicare Emergency Medicine in Saginaw, MI

  1. Home
  2. Emergency Medicine
  3. MI
  4. Saginaw
Jesse Ellsworth, is a medicare enrolled "Emergency Medicine" physician in Saginaw, Michigan. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Tanglewood Park Physicians Pllc and his current practice location is 1000 Houghton Ave, Saginaw, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 583-6800.

Jesse Ellsworth is licensed to practice in Michigan (license number 4301106067) 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 1063827582.

Contact Information

Jesse Ellsworth,
1000 Houghton Ave,
Saginaw, MI 48602-5303
(989) 583-6800
Not Available

Map and Direction




Physician's Profile

Full NameJesse Ellsworth
GenderMale
SpecialityEmergency Medicine
Experience10 Years
Location1000 Houghton Ave, Saginaw, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jesse Ellsworth graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1063827582
  • Provider Enumeration Date: 06/23/2014
  • Last Update Date: 06/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7719251933
  • Enrollment ID: I20170926003090

Medical Identifiers

Medical identifiers for Jesse Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063827582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 4301106067 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Forsyth Medical CenterWinston-salem, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tanglewood Park Physicians Pllc347689512923

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. Jesse Ellsworth allows following entities to bill medicare on his behalf.
Entity NameGastonia Physician Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316367691
PECOS PAC ID: 3870719602
Enrollment ID: O20140730002523
Entity NameBrunswick Physician Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457822264
PECOS PAC ID: 2062752470
Enrollment ID: O20190321002645
Entity NamePiedmont Triad Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295206464
PECOS PAC ID: 6406197334
Enrollment ID: O20190403000344
Entity NameKernersville Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750852034
PECOS PAC ID: 3375885429
Enrollment ID: O20190422001205
Entity NameTanglewood Park Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093286379
PECOS PAC ID: 3476895129
Enrollment ID: O20190429001041

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. Jesse 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
Jesse Ellsworth,
1000 Houghton Ave,
Saginaw, MI 48602-5303

Ph: () -		Jesse Ellsworth,
1000 Houghton Ave,
Saginaw, MI 48602-5303

Ph: (989) 583-6800

Reviews and Comments


Emergency Medicine Doctors in Saginaw, MI

Dr. Meagan Crofoot, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Houghton Ave, Saginaw, MI 48602
Phone: 989-583-6800    
Andrew Michael Franklin, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 S Washington Ave, Saginaw, MI 48601
Phone: 989-793-7220    Fax: 989-793-7482
Mrs. Jayme Kern Hall, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 Cooper Ave, Saginaw, MI 48602
Phone: 989-583-6521    
Michael Andrew Salvatore Cannova, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Houghton Ave, Saginaw, MI 48602
Phone: 989-746-7518    
Charles Hooshmand Nightingale, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 S Washington Ave, Saginaw, MI 48601
Phone: 989-907-8200    Fax: 989-907-8294
Dr. Derek Schaller, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 Cooper Ave, Saginaw, MI 48602
Phone: 989-583-6521    
Dr. Barbie Jean Fernelius, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 Cooper Ave, Saginaw, MI 48602
Phone: 989-583-6521    

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.