NPIMap

Ellsworth Foot and Ankle Clinic

A Medicare group practice based in St George, UT: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2062778160), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2062778160The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
Enrolled in
GA, UT
Enrollments
4
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 5 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20220729002452 UT DME Supplier - Physician - Podiatry 1760151864
O20220826002154 UT DME Supplier - Physician - Podiatry 1922777028
O20210129000469 GA Part B Supplier - Clinic/Group Practice 1639769672
O20211110001673 UT Part B Supplier - Clinic/Group Practice 1942549795

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (6).

Sources for this page