Dr Gregory Eugene Ellcessor, AUD | |
3611 S Reed Rd Ste 210, Kokomo, IN 46902-3828 | |
(765) 864-8925 | |
(765) 864-8926 |
Full Name | Dr Gregory Eugene Ellcessor |
---|---|
Gender | Male |
Speciality | Audiologist |
Location | 3611 S Reed Rd Ste 210, Kokomo, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124453527 | NPI | - | NPPES |
100247680 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 23002540A (Indiana) | Primary |
Provider Name | Community Physicians Of Indiana Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Eugene Ellcessor, AUD 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Dr Gregory Eugene Ellcessor, AUD 3611 S Reed Rd Ste 210, Kokomo, IN 46902-3828 Ph: (765) 864-8925 |
Amber L Myers, M.A., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2350 S Dixon Rd Ste 415, Kokomo, IN 46902 Phone: 317-844-7059 Fax: 317-819-0044 | |
Dr. Alexis Holt, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 138 N Dixon Rd, Kokomo, IN 46901 Phone: 812-473-2060 | |
Mr. Jon Frederick Weaver, MA,CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1542s Dixon Rd F, Kokomo, IN 46902 Phone: 765-457-4261 Fax: 754-455-2577 | |
Hearing Center, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 931 S Washington St, Kokomo, IN 46901 Phone: 765-453-0200 Fax: 765-453-0220 | |
Terry J Donovan, MA Audiologist Medicare: Medicare Enrolled Practice Location: 931 S Washington St, Kokomo, IN 46901 Phone: 765-453-0200 Fax: 765-453-0220 |