Heather Renea Ellerbrock, LPN/MDS COORDINATOR is a
Licensed Practical Nurse based in Kalida, Ohio. Heather Renea Ellerbrock is licensed to practice in Ohio (license number 154693) and her current practice location is
755 Ottawa St, Kalida, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 532-2961.
NPI number for Heather Renea Ellerbrock is 1659045524 and her current mailing address is 755 Ottawa St, Kalida, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659045524.
Provider's Profile
Full Name | Heather Renea Ellerbrock |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 755 Ottawa St, Kalida, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659045524
- Provider Enumeration Date: 08/04/2021
- Last Update Date: 08/04/2021
Medical Identifiers
Medical identifiers for Heather Renea Ellerbrock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659045524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 154693 (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. Heather Renea Ellerbrock 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 |
Heather Renea Ellerbrock, LPN/MDS COORDINATOR 755 Ottawa St, Kalida, OH 45853-2096 Ph: (419) 532-2961 | Heather Renea Ellerbrock, LPN/MDS COORDINATOR 755 Ottawa St, Kalida, OH 45853-2096 Ph: (419) 532-2961 |
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