Mrs Amanda L Ellis, APRNCNP | |
408 9th St Sw, Canton, OH 44707-4714 | |
(330) 454-2000 | |
Not Available |
Full Name | Mrs Amanda L Ellis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 408 9th St Sw, Canton, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902443195 | NPI | - | NPPES |
0414147 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.025521 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Canton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifecare Family Health And Dental Center, Inc. | 7315959483 | 11 |
Entity Name | Lifecare Family Health And Dental Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013964923 PECOS PAC ID: 7315959483 Enrollment ID: O20131031001454 |
Entity Name | Grace Family Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760850911 PECOS PAC ID: 5597072827 Enrollment ID: O20150929001445 |
Mailing Address | Practice Location Address |
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Mrs Amanda L Ellis, APRNCNP 408 9th St Sw, Canton, OH 44707-4714 Ph: () - | Mrs Amanda L Ellis, APRNCNP 408 9th St Sw, Canton, OH 44707-4714 Ph: (330) 454-2000 |
Mrs. Rachel Elizabeth Starr, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000 | |
Chelsea Flight, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000 | |
Kathleen Moore, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-588-4676 | |
Taylor Meghan Moyer, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-7444 Fax: 330-363-7770 | |
Jaime Marie Rennecker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-5433 Fax: 330-363-7785 | |
Heather Baker, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-452-9911 | |
Kenzie Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-9632 |