Kenneth Robert Ellison, PA | |
1032 Mar Walt Dr, Suite 250, Fort Walton Beach, FL 32547-6661 | |
(850) 863-3463 | |
(850) 315-6051 |
Full Name | Kenneth Robert Ellison |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 22 Years |
Location | 1032 Mar Walt Dr, Fort Walton Beach, Florida |
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 |
---|---|---|---|
1831122803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 9106823 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Florida Multispecialty Physicians Llc | 5597801779 | 20 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Robert Ellison, PA 1032 Mar Walt Dr, Suite 250, Fort Walton Beach, FL 32547-6661 Ph: (850) 863-3463 | Kenneth Robert Ellison, PA 1032 Mar Walt Dr, Suite 250, Fort Walton Beach, FL 32547-6661 Ph: (850) 863-3463 |
Danielle Horton, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 914 Mar Walt Dr Ste A, Fort Walton Beach, FL 32547 Phone: 850-314-7546 Fax: 850-314-7542 | |
Alexis Auen Gates, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1034 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-2153 Fax: 850-809-4312 | |
Mr. Steve Randolph Switzer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 345 Miracle Strip Pkwy S.w., Fort Walton Beach, FL 32548 Phone: 850-244-3211 Fax: 850-243-1992 | |
Mrs. Jill Virginia Ash, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 339 Racetrack Rd, Suite 2, Fort Walton Beach, FL 32547 Phone: 850-863-7900 Fax: 850-864-3094 | |
Mrs. Megan Antinone, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 | |
Mr. Nicholas Alexander Pukish Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1825 Hurlburt Rd Ste 14, Fort Walton Beach, FL 32547 Phone: 850-610-8820 Fax: 844-297-8690 | |
Dr. Claudia Fernanda Campuzano, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Lielmanis Avenue, Fort Walton Beach, FL 32566 Phone: 850-855-6626 |