Ellsworth Medical, Llc
Durable Medical Equipment & Medical Supplies
15 S Main St Ste B, East Granby
Connecticut, 06026-9550
860-431-4048 860-431-4058
Ellsworth Medical, Llc is a Durable Medical Equipment & Medical Supplies in East Granby, Connecticut. It is located at 15 S Main St Ste B, East Granby and it's customer support contact number is 860-431-4048. The authorized person of Ellsworth Medical, Llc is Mr. Brian Allan Cosker Jr. who is Owner of this DME and his contact number is 860-431-4048. Ellsworth Medical, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Ellsworth Medical, Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Ellsworth Medical, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Ellsworth Medical, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 15 S Main St Ste B, East Granby,
Connecticut, 06026-9550 |
| Phone: | 860-431-4048 |
| Fax: | 860-431-4058 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Brian Allan Cosker Jr. |
| Position: | Owner |
| Contact Number: | 860-431-4048 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1730199852 |
| NPI Enumeration Date: | 09 Aug, 2006 |
| NPI Last Update On: | 14 Jul, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ellsworth Medical, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 004122149 | Medicaid | Connecticut | |
| 12DME0619CT02 | Other | Connecticut | Anthem Blue Cross |
Medicare Enrollment:
Ellsworth Medical, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8628287521 | O20100930092046 | Ellsworth Medical And Surgical Supply Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 15 S Main St Ste B,
East Granby, Connecticut |
| Zip: | 06026-9550 |
| Phone Number: | 860-431-4048 |
| Fax Number: | 860-431-4058 |
Patients can reach Ellsworth Medical, Llc at
15 S Main St Ste B, East Granby, Connecticut or can
call on customer care at 860-431-4048.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.