Dr Jonathan Matthew Ellis, BS, DC | |
123 Market St, Man, WV 25635-1216 | |
(304) 688-1204 | |
Not Available |
Full Name | Dr Jonathan Matthew Ellis |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 123 Market St, Man, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083634026 | NPI | - | NPPES |
113708911 | Other | WV | 4-MOST |
113708911 | Other | WV | PEIA |
113708911 | Other | WV | MAMSI |
13708911 | Other | WV | CIGNA |
113708911 | Other | WV | ACCORDIA |
3810001425 | Medicaid | WV | |
1067067 | Other | WV | WORKER'S COMP |
113708911 | Other | WV | CARELINK |
11378911 | Other | WV | STARMARK |
001705988 | Other | WV | BLUE CROSS/ BLUE SHEILD |
113708911 | Other | WV | HARRINGTON BENEFITS |
92064 | Other | WV | UNICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 823 (West Virginia) | Primary |
Provider Name | Logan Mingo Area Mental Health, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427522218 PECOS PAC ID: 0840240362 Enrollment ID: O20190620002377 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Matthew Ellis, BS, DC 123 Market St, Man, WV 25635-1216 Ph: (304) 688-1204 | Dr Jonathan Matthew Ellis, BS, DC 123 Market St, Man, WV 25635-1216 Ph: (304) 688-1204 |
Mountain State Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 310 Market St, Man, WV 25635 Phone: 304-583-6400 | |
Melissa White, D C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 310 Market St, Man, WV 25635 Phone: 304-583-6400 Fax: 304-583-6800 | |
John White Iii, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 310 Market St, Man, WV 25635 Phone: 304-583-6400 Fax: 304-583-6800 |