| Andrew Cole Haefele, PA-C | |
|
630 E River St, Elyria, OH 44035-5902 | |
| (440) 329-7500 | |
| Not Available |
| Full Name | Andrew Cole Haefele |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 630 E River St, Elyria, 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 |
|---|---|---|---|
| 1407747371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 50.009578RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals - Elyria Medical Center | Elyria, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emh Regional Medical Center | 7517931389 | 14 |
| University Hospitals Medical Group Inc | 4789682493 | 2248 |
| Entity Name | Emh Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841299039 PECOS PAC ID: 7517931389 Enrollment ID: O20040826000069 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | University Hospitals St. John Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427353713 PECOS PAC ID: 0840333613 Enrollment ID: O20110315000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Cole Haefele, PA-C 634 Eastpointe Ct, Amherst, OH 44001-3445 Ph: (440) 656-9060 | Andrew Cole Haefele, PA-C 630 E River St, Elyria, OH 44035-5902 Ph: (440) 329-7500 |
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 |