Ms Suzanne Ellis, FNP-BC | |
6252 Mahoning Ave, Austintown, OH 44515-2003 | |
(330) 656-5911 | |
(330) 656-5901 |
Full Name | Ms Suzanne Ellis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 6252 Mahoning Ave, Austintown, 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 |
---|---|---|---|
1689075343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA-16387NP (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mves Boardman Llc | 4688694722 | 37 |
Entity Name | Mahoning Valley Emergency Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003869652 PECOS PAC ID: 5698758993 Enrollment ID: O20040609000114 |
Entity Name | Mves Austintown Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972555944 PECOS PAC ID: 1355308875 Enrollment ID: O20041216000550 |
Entity Name | Mves Boardman Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205888237 PECOS PAC ID: 4688694722 Enrollment ID: O20051202000794 |
Mailing Address | Practice Location Address |
---|---|
Ms Suzanne Ellis, FNP-BC 5700 Darrow Rd, Suite 106, Hudson, OH 44236-5026 Ph: (330) 656-5911 | Ms Suzanne Ellis, FNP-BC 6252 Mahoning Ave, Austintown, OH 44515-2003 Ph: (330) 656-5911 |
Mrs. Melanie Marie Klockner, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5480 Norquest Blvd, Austintown, OH 44515 Phone: 330-779-0529 | |
Mr. Joshua Steven Mcgaffic, MSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5760 Patriot Blvd # C, Austintown, OH 44515 Phone: 330-270-8610 | |
Ms. Kimberly A Tindell, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5760 Patriot Drive, Austintown, OH 44515 Phone: 330-610-6476 | |
Mrs. Shallon Tennille Johnson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5760 Patriot Blvd, Austintown, OH 44515 Phone: 330-953-0243 Fax: 330-313-3404 | |
Mr. Daniel Lee Ludwig Jr., NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Ohltown Rd, Austintown, OH 44515 Phone: 330-884-1504 | |
Mellisa Ann Brown, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5760 Patriot Blvd, Austintown, OH 44515 Phone: 330-270-8610 | |
Ryan Matthew Costlow, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5605 Madrid Dr, Austintown, OH 44515 Phone: 330-518-2902 |