Susannah G Ellsworth, MD | |
550 University Blvd, Indianapolis, IN 46202-5149 | |
(317) 944-2524 | |
Not Available |
Full Name | Susannah G Ellsworth |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 19 Years |
Location | 550 University Blvd, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336283951 | NPI | - | NPPES |
201286120 | Medicaid | IN | |
057572100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | D0071963 (Maryland) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 01075059A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Upmc Presbyterian Shadyside | Pittsburgh, PA | Hospital |
Magee Womens Hospital Of Upmc Health System | Pittsburgh, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Pittsburgh Cancer Institute Cancer Services | 6709771587 | 40 |
Entity Name | University Of Pittsburgh Cancer Institute Cancer Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427025840 PECOS PAC ID: 6709771587 Enrollment ID: O20040219000811 |
Entity Name | Upmc And The Washington Hospital Cancer Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053417527 PECOS PAC ID: 5991702391 Enrollment ID: O20061027000127 |
Entity Name | Upmc/st Clair Hospital Cancer Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306138169 PECOS PAC ID: 9638349558 Enrollment ID: O20110902000010 |
Mailing Address | Practice Location Address |
---|---|
Susannah G Ellsworth, MD 250 N Shadeland Ave, Suite 130 - Provider Enrollment, Indianapolis, IN 46219-4959 Ph: (410) 933-7400 | Susannah G Ellsworth, MD 550 University Blvd, Indianapolis, IN 46202-5149 Ph: (317) 944-2524 |
Jack David Markiewicz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-278-9729 | |
Dr. Caryn C Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Technology Center Dr, Indianapolis, IN 46278 Phone: 317-328-4777 Fax: 317-715-9965 | |
Dr. Stefan Andrew Hoff, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-806-8260 Fax: 317-806-8296 | |
Sean David Gussick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Radiology Dept, Indianapolis, IN 46202 Phone: 317-962-5740 | |
Mark J Paluszny, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130 | |
Angela G Pence, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130 | |
Dr. Hal D Kipfer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202 Phone: 317-962-6793 Fax: 317-962-8281 |