Ryan Scott Ellsworth, DPM - Medicare Podiatrist in Riverton, UT

Ryan Scott Ellsworth, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Riverton, Utah. He went to Kent State University College Of Podiatric Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Ellsworth Foot And Ankle Clinic and his current practice location is 4019 W 12600 S, Suite 120, Riverton, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 253-6886.

Ryan Scott Ellsworth is licensed to practice in Utah (license number 8400193-0501) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1104130574.

Contact Information

Ryan Scott Ellsworth, DPM
4019 W 12600 S, Suite 120,
Riverton, UT 84096
(801) 253-6886
(801) 253-6888



Healthcare Provider's Profile

Full NameRyan Scott Ellsworth
GenderMale
SpecialityPodiatry
Experience14 Years
Location4019 W 12600 S, Riverton, Utah
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ryan Scott Ellsworth attended and graduated from Kent State University College Of Podiatric Medicine in 2010
  NPI Data:
  • NPI Number: 1104130574
  • Provider Enumeration Date: 07/28/2010
  • Last Update Date: 01/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678719135
  • Enrollment ID: I20130429000536

Medical Identifiers

Medical identifiers for Ryan Scott Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104130574NPI-NPPES
7672880001OtherUTDME

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 8400193-0501 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Brighton Home HealthMurray, UTHome health agency
Riverton HospitalRiverton, UTHospital
Dixie Regional Medical CenterSt george, UTHospital

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. Ryan Scott Ellsworth allows following entities to bill medicare on his behalf.
Provider NameSummit Medical Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881216646
PECOS PAC ID: 7416345673
Enrollment ID: O20211021000925

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Provider NameEllsworth Foot And Ankle Clinic
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1942549795
PECOS PAC ID: 2062778160
Enrollment ID: O20211110001673

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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. Ryan Scott 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
Ryan Scott Ellsworth, DPM
4019 W 12600 S Ste 120,
Riverton, UT 84096-7405

Ph: (801) 253-6886
Ryan Scott Ellsworth, DPM
4019 W 12600 S, Suite 120,
Riverton, UT 84096

Ph: (801) 253-6886

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› Verified 9 days ago


Podiatrist in Riverton, UT

Mark R Elkins, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 4019 W 12600 South, Suite 120, Riverton, UT 84096
Phone: 801-253-6886    Fax: 801-253-6888
Ellsworth Foot And Ankle Clinic
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065
Phone: 801-253-6886    Fax: 801-253-6888
Mark R Elkins Dpm Pc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 4019 W 12600 S, Suite 120, Riverton, UT 84096
Phone: 801-253-6886    Fax: 801-253-6888
Advanced Wound Care Of Utah Pllc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 13836 S Glen Laurel Cir, Riverton, UT 84065
Phone: 928-530-3230    
Dr. Braden Russ Brklacich, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065
Phone: 801-253-6886    
Ingrown Toenails Only
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 4019 W 12600 S Ste 120b, Riverton, UT 84096
Phone: 801-273-0001    

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