| Dr Elizabeth Ellen Klenk, MD | |
|
1661 Venture Dr, Mount Vernon, OH 43050-8928 | |
| (740) 397-2915 | |
| (740) 397-3870 |
| Full Name | Dr Elizabeth Ellen Klenk |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 1661 Venture Dr, Mount Vernon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194042432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35.080005 (Ohio) | Primary |
| Entity Name | Galion Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215907522 PECOS PAC ID: 5496737439 Enrollment ID: O20040603000930 |
| Entity Name | Live Life Now Health Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770111429 PECOS PAC ID: 9537581897 Enrollment ID: O20211220000344 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth Ellen Klenk, MD 269 Portland Way South, Galion, OH 44833 Ph: (419) 462-4544 | Dr Elizabeth Ellen Klenk, MD 1661 Venture Dr, Mount Vernon, OH 43050-8928 Ph: (740) 397-2915 |
Shawn L. Reed, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-326-3537 Fax: 740-326-3538 | |
Shaban Mahmoud, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 | |
Robert L. Drake, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 Fax: 740-392-0167 | |
Piyush Gupta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-399-3875 | |
Hufza Hanif, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 Fax: 740-392-0167 | |
Dr. Jodi Dome-linger, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 Fax: 740-392-0167 |