Johnny R Ellison, DO | |
1051 4th Ave, Gallipolis, OH 45631-1612 | |
(740) 446-5244 | |
(740) 446-5625 |
Full Name | Johnny R Ellison |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 1051 4th Ave, Gallipolis, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669427118 | NPI | - | NPPES |
001714065 | Other | MOUNTAIN STATE BCBS | |
0555340 | Other | OH | MOLINA MEDICAID |
000000181981 | Other | OH | UNISON MEDICAID |
310917085105 | Other | OH | CARESOURCE MEDICAID |
0051040000 | Medicaid | WV | |
000000007522 | Other | ANTHEM BCBS | |
0555340 | Medicaid | OH | |
080056559 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34-00-3700 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pleasant Valley Home Health | Gallipolis, OH | Home health agency |
Holzer Medical Center | Gallipolis, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holzer Clinic Llc | 5890606008 | 264 |
Entity Name | Holzer Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Mailing Address | Practice Location Address |
---|---|
Johnny R Ellison, DO 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5000 | Johnny R Ellison, DO 1051 4th Ave, Gallipolis, OH 45631-1612 Ph: (740) 446-5244 |
Erica D Barringer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 | |
Richard Bowers Simpson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 49 Ohio Ave, Gallipolis, OH 45631 Phone: 740-446-1642 | |
Glenn A. Fisher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5749 | |
Adam Robert Martin Alley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Silver Bridge Plz, Gallipolis, OH 45631 Phone: 740-446-4600 Fax: 304-429-3109 | |
Holly Patricia Wells, NP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Airport Rd, Gallipolis, OH 45631 Phone: 740-441-5837 Fax: 740-446-4134 | |
Adrienne M Mays-kingston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5486 | |
Dr. Jacob Edward Riffle, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 |