| Carissa M Elkins, MD | |
|
805 E Pike St, Jackson Center, OH 45334-6001 | |
| (937) 596-0456 | |
| (937) 596-0462 |
| Full Name | Carissa M Elkins |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 805 E Pike St, Jackson Center, 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 |
|---|---|---|---|
| 1881114635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.140064 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Rutan Hospital | Bellefontaine, OH | Hospital |
| Wilson Memorial Hospital | Sidney, OH | Hospital |
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Memorial Hospital | Marysville, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mary Rutan Hospital | 9032013792 | 83 |
| Entity Name | Mary Rutan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548254931 PECOS PAC ID: 9032013792 Enrollment ID: O20031124000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Carissa M Elkins, MD 805 E Pike St, Jackson Center, OH 45334-6001 Ph: (937) 596-0456 | Carissa M Elkins, MD 805 E Pike St, Jackson Center, OH 45334-6001 Ph: (937) 596-0456 |
Dr. Cheryl A Mann, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 805 E Pike St, Jackson Center, OH 45334 Phone: 937-596-0456 Fax: 937-596-0462 | |
Dr. Emily J Mccarty, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 E Pike St, Jackson Center, OH 45334 Phone: 937-596-0456 Fax: 937-596-0462 | |
Freddie Preston Paul Stewart, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 W Pike St, Jackson Center, OH 45334 Phone: 937-596-6123 | |
Michael A Trygstad, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 602 W Pike St, Jackson Center, OH 45334 Phone: 937-596-6123 Fax: 937-596-6057 |