| Darcel Elliott, | |
|
7015 Spring Meadows West, Suite 102, Holland, OH 43528 | |
| (419) 491-1180 | |
| (419) 491-1181 |
| Full Name | Darcel Elliott |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 7015 Spring Meadows West, Holland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871020511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Promedica Central Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245444959 PECOS PAC ID: 6709975345 Enrollment ID: O20071204000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Darcel Elliott, 7015 Spring Meadows West, Suite 102, Holland, OH 43528 Ph: (419) 491-1180 | Darcel Elliott, 7015 Spring Meadows West, Suite 102, Holland, OH 43528 Ph: (419) 491-1180 |
Justin Link, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 South Irwin Road, Holland, OH 43528 Phone: 567-703-9064 | |
Daniel Scott Lawrence, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-491-7300 | |
Jeffrey Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-824-8462 | |
Mrs. Helene Solomon Daum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-824-8462 | |
Sarah Elizabeth Lyczkowski, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-824-8462 | |
Joshua Mietelski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-824-8462 | |
Teresa Nickole Dennis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6648 South Ave, Holland, OH 43528 Phone: 567-703-9064 |