Mr John M Ellis, LISW, LICDC is a
Counselor - Addiction (substance Use Disorder) based in North Ridgeville, Ohio. Mr John M Ellis is licensed to practice in Ohio (license number 923272) and his current practice location is
35888 Center Ridge Rd, Suite 5, North Ridgeville, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 327-1800.
NPI number for Mr John M Ellis is 1326063363 and his current mailing address is 35888 Center Ridge Rd, Suite 5, North Ridgeville, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326063363.
Healthcare Provider's Profile
| Full Name | Mr John M Ellis |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 35888 Center Ridge Rd, North Ridgeville, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326063363
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr John M Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326063363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | I-0009904 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 923272 (Ohio) | Primary |
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. Mr John M Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr John M Ellis, LISW, LICDC
35888 Center Ridge Rd, Suite 5,
North Ridgeville, OH 44039-3086
Ph: (440) 327-1800 | Mr John M Ellis, LISW, LICDC
35888 Center Ridge Rd, Suite 5,
North Ridgeville, OH 44039-3086
Ph: (440) 327-1800 |
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