| Alisa Marvin, PA-C | |
|
303 Chestnut Commons Dr, Elyria, OH 44035-9607 | |
| (440) 204-7400 | |
| Not Available |
| Full Name | Alisa Marvin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 303 Chestnut Commons Dr, Elyria, 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 |
|---|---|---|---|
| 1699190942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 004009 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Hospital | Cleveland, OH | Hospital |
| Cleveland Clinic | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Hospitals Urgent Care, Llc | 3971985607 | 109 |
| Cleveland Clinic | 1850203555 | 6954 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Wooster Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Entity Name | University Hospitals Urgent Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124765052 PECOS PAC ID: 3971985607 Enrollment ID: O20220727004332 |
| Entity Name | Allen Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841902814 PECOS PAC ID: 9739554379 Enrollment ID: O20230412001703 |
| Entity Name | Lorain Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427760487 PECOS PAC ID: 0244605608 Enrollment ID: O20230417002556 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisa Marvin, PA-C 303 Chestnut Commons Dr, Elyria, OH 44035-9607 Ph: (440) 204-7400 | Alisa Marvin, PA-C 303 Chestnut Commons Dr, Elyria, OH 44035-9607 Ph: (440) 204-7400 |
Mr. James R. Roe, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Emh Regional Medical Center, 630 East River St., Elyria, OH 44035 Phone: 440-329-7500 |
William Brown, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-326-5414 |
Mrs. Audrey Havens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 E Broad St, Elyria, OH 44035 Phone: 440-406-5500 |
Rachael Lee Ray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 |
Jacob E Barnes, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7450 |
Monica Sparks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7450 Fax: 440-329-5814 |
Nicholas James Tuttle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 Chestnut Commons Dr, Elyria, OH 44035 Phone: 440-366-9444 |