Darcel Elliott, | |
7015 Spring Meadows West, Suite 102, Holland, OH 43528 | |
(419) 491-1180 | |
(419) 491-1181 |
Full Name | Darcel Elliott |
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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 |
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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 |