| Jeffrey Aaron Ellerhorst, DO | |
|
1 Memory Ln Ste 200, Garrettsville, OH 44231-9415 | |
| (330) 527-4852 | |
| (330) 527-4866 |
| Full Name | Jeffrey Aaron Ellerhorst |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 1 Memory Ln Ste 200, Garrettsville, Ohio |
| 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 |
|---|---|---|---|
| 1932237039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 58.008028 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Portage Medical Center | Ravenna, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Lifetime Care Medical Affiliates Inc. | 4486635364 | 4 |
| Entity Name | Total Lifetime Care Medical Affiliates Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932219920 PECOS PAC ID: 4486635364 Enrollment ID: O20040526001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Aaron Ellerhorst, DO 1 Memory Ln Ste 200, Garrettsville, OH 44231-9415 Ph: (330) 527-4852 | Jeffrey Aaron Ellerhorst, DO 1 Memory Ln Ste 200, Garrettsville, OH 44231-9415 Ph: (330) 527-4852 |
Heather Newcomb, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Memory Ln, Garrettsville, OH 44231 Phone: 330-527-4852 | |
Courtney Jean Munn-huesca, APRN-CNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10724 South St, Garrettsville, OH 44231 Phone: 330-527-2617 | |
Dr. Sang M Leu, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8307 Windham St, Garrettsville, OH 44231 Phone: 330-527-2617 Fax: 330-527-5099 |