Corwin Ryan Ellsworth, PA-C is a medicare enrolled "Physician Assistant" in Pinetop, Arizona. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Summit Healthcare Medical Associates and his current practice location is
728 E White Mountain Blvd, Suite B, Pinetop, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 367-3926.
Corwin Ryan Ellsworth is licensed to practice in Arizona (license number 2609) 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 1962634246.
Provider's Profile
| Full Name | Corwin Ryan Ellsworth |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 728 E White Mountain Blvd, Pinetop, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Corwin Ryan Ellsworth graduated from nursing school in 2001
NPI Data:
- NPI Number: 1962634246
- Provider Enumeration Date: 08/20/2009
- Last Update Date: 08/20/2009
Medicare PECOS Information:
- PECOS PAC ID: 8729360706
- Enrollment ID: I20170127000355
Medical Identifiers
Medical identifiers for Corwin Ryan Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962634246 | NPI | - | NPPES |
| 779548 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 2609 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Summit Healthcare Medical Associates | 8729205737 | 79 |
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. Corwin 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 |
|---|
Corwin Ryan Ellsworth, PA-C
Po Box 3610,
Pinetop, AZ 85935-3610
Ph: (928) 367-3926 | Corwin Ryan Ellsworth, PA-C
728 E White Mountain Blvd, Suite B,
Pinetop, AZ 85935
Ph: (928) 367-3926 |
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