Ken Richard Ellzey, MD in Clovis, CA - Medicare Family Medicine

Ken Richard Ellzey, MD is a medicare enrolled "Family Medicine" physician in Clovis, California. His current practice location is 2071 Herndon Ave, Clovis, California. You can reach out to his office (for appointments etc.) via phone at (559) 324-5100.

Ken Richard Ellzey is licensed to practice in California (license number C40990) 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 1861571903.

Contact Information

	Ken Richard Ellzey, MD
	2071 Herndon Ave, Clovis, CA 93611-6101
	(559) 324-5100
	Not Available

Map and Direction

Physician's Profile

Full Name	Ken Richard Ellzey
Gender	Male
Speciality	Family Medicine
Location	2071 Herndon Ave, Clovis, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861571903
Provider Enumeration Date: 11/02/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7719971951
Enrollment ID: I20040412000981

Medical Identifiers

Medical identifiers for Ken Richard Ellzey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861571903	NPI	-	NPPES
00C409900	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	C40990 (California)	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. Ken Richard Ellzey allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Ken Richard Ellzey 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
Ken Richard Ellzey, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262	Ken Richard Ellzey, MD 2071 Herndon Ave, Clovis, CA 93611-6101 Ph: (559) 324-5100

Reviews and Comments

Family Medicine Doctors in Clovis, CA

Dr. Meenakshi Dhingra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2740 Herndon Ave, Clovis, CA 93611 Phone: 559-299-2608 Fax: 559-299-1341
Dr. Nadia Javaid, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2006 Shaw Ave Ste 101, Clovis, CA 93611 Phone: 559-450-5880 Fax: 559-450-5881
Umair Khalid, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2006 Shaw Ave, Clovis, CA 93611 Phone: 559-450-5880 Fax: 559-450-5881
Ms. Jyothi Ranga Patri, M.D., MHA Family Medicine Medicare: Medicare Enrolled Practice Location: 2740 Herndon Ave, Clovis, CA 93611 Phone: 559-299-2578
Jeffrey Todd Gardner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 W Fir Ave #101, Clovis, CA 93611 Phone: 559-299-7294 Fax: 559-299-0641
Kevin Wingert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2131 Herndon Ave Ste 101, Clovis, CA 93611 Phone: 559-297-3700 Fax: 559-297-3701
Marybeth Yuskavage, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 W Fir Ave, Suite 101, Clovis, CA 93611 Phone: 559-299-7294 Fax: 559-299-0641

Ken Richard Ellzey, MD - Medicare Family Medicine in Clovis, CA