Dr Kevin Ryan Ellsworth, MD in Gilbert, AZ

Dr Kevin Ryan Ellsworth, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Gilbert, Arizona. His current practice location is 3420 S Mercy Rd Ste 205, Gilbert, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 933-6345.

Dr Kevin Ryan Ellsworth is licensed to practice in Arizona (license number 56178) 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 1255607263.

Contact Information

	Dr Kevin Ryan Ellsworth, MD
	3420 S Mercy Rd Ste 205, Gilbert, AZ 85297-0423
	(602) 933-6345
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kevin Ryan Ellsworth
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	3420 S Mercy Rd Ste 205, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255607263
Provider Enumeration Date: 03/25/2012
Last Update Date: 12/09/2020

Medicare PECOS Information:

PECOS PAC ID: 7113238767
Enrollment ID: I20200518002847

Medical Identifiers

Medical identifiers for Dr Kevin Ryan Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255607263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	56178 (Arizona)	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 Kevin Ryan Ellsworth allows following entities to bill medicare on his behalf.

Entity Name	Phoenix Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704

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 Kevin Ryan 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 Address	Practice Location Address
Dr Kevin Ryan Ellsworth, MD 3200 E Camelback Rd Ste 250, Phoenix, AZ 85018-2327 Ph: (602) 933-1814	Dr Kevin Ryan Ellsworth, MD 3420 S Mercy Rd Ste 205, Gilbert, AZ 85297-0423 Ph: (602) 933-6345

Reviews and Comments

Pediatrics Doctors in Gilbert, AZ

Dr. Pamela Sue Griffiths, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3555 S Val Vista Dr, Gilbert, AZ 85297 Phone: 602-933-6345 Fax: 602-933-8975
Robin Laks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2550 E Guadalupe Rd, #115, Gilbert, AZ 85234 Phone: 480-214-2300 Fax: 480-214-2301
James Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2550 E Guadalupe Rd, #115, Gilbert, AZ 85234 Phone: 480-214-2300 Fax: 480-214-2300
Dr. Sharon Ann Novy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1425 W Elliot Rd, Suite 204, Gilbert, AZ 85233 Phone: 480-792-1012 Fax: 480-792-1013
Sonal S Shah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4100 S Lindsay Rd, Ste 126, Gilbert, AZ 85297 Phone: 480-892-3500 Fax: 480-892-0695
Colin K Kelly, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4132 E Morrison Ranch Pkwy, Gilbert, AZ 85296 Phone: 801-560-9613
Larry Loren James, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 S Val Vista Dr, Gilbert, AZ 85296 Phone: 480-733-6500 Fax: 480-633-3794

Dr Kevin Ryan Ellsworth, MD - Medicare Pediatrics in Gilbert, AZ