Logan William Ellis, | |
200 Patewood Dr Ste C300, Greenville, SC 29615-6324 | |
(864) 908-0122 | |
Not Available |
Full Name | Logan William Ellis |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 4 Years |
Location | 200 Patewood Dr Ste C300, Greenville, South Carolina |
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 |
---|---|---|---|
1952999294 | NPI | - | NPPES |
1175810 | Other | NCCPA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Patewood Hospital | Greenville, SC | Hospital |
Pelham Medical Center | Greer, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spartanburg Medical Center | 3072425297 | 912 |
Mailing Address | Practice Location Address |
---|---|
Logan William Ellis, 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (803) 434-1335 | Logan William Ellis, 200 Patewood Dr Ste C300, Greenville, SC 29615-6324 Ph: (864) 908-0122 |
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Mrs. Mary Jeannette Leonardi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3443 Pelham Rd, Suite 200, Greenville, SC 29615 Phone: 864-254-9330 | |
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