Mr Patrick M Ellis, MSPT | |
6107 Crawley Creek Rd., Chapmanville, WV 25508 | |
(304) 855-9500 | |
(304) 855-9525 |
Full Name | Mr Patrick M Ellis |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 6107 Crawley Creek Rd., Chapmanville, West Virginia |
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 |
---|---|---|---|
1114028214 | NPI | - | NPPES |
7302394-000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 002118 (West Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern West Virginia Physical Therapy | 1557384468 | 2 |
Provider Name | Southern West Virginia Physical Therapy |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245411701 PECOS PAC ID: 1557384468 Enrollment ID: O20060106000055 |
Mailing Address | Practice Location Address |
---|---|
Mr Patrick M Ellis, MSPT Po Box 1647, Chapmanville, WV 25508-1647 Ph: (304) 855-9500 | Mr Patrick M Ellis, MSPT 6107 Crawley Creek Rd., Chapmanville, WV 25508 Ph: (304) 855-9500 |
Lyndsay Gore Paugh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Friendly Neighbor Plaza Suite E, Chapmanville, WV 25508 Phone: 304-855-9500 | |
Southern West Virginia Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 6107 Crawley Creek Rd., Chapmanville, WV 25508 Phone: 304-855-9500 Fax: 304-855-9525 | |
Olivia Bias, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Plaza St, 80 Friendly Neighbor Rd Ste. E, Chapmanville, WV 25508 Phone: 304-855-9500 | |
Derek Dalton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 560 Main Street, Chapmanville, WV 25508 Phone: 304-928-1446 | |
Jill Leann Hensley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 560 S Main St, Chapmanville, WV 25508 Phone: 304-310-4721 | |
Summer Hill, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 80 Friendly Neighbor Plaza, Chapmanville, WV 25508 Phone: 304-855-9500 Fax: 304-855-9525 |