| Elle Roberts, | |
| 47 Hill St, Logan, OH 43138-1509 | |
| (123) 456-7890 | |
| Not Available | 
| Full Name | Elle Roberts | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant | 
| Location | 47 Hill St, Logan, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932976263 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | 12324567890 (West Virginia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Elle Roberts, 47 Hill St, Logan, OH 43138-1509 Ph: () - | Elle Roberts, 47 Hill St, Logan, OH 43138-1509 Ph: (123) 456-7890 | 
| Scott J Cryder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 819 State Route 664 N, Logan, OH 43138 Phone: 740-380-8140 Fax: 740-380-8150 | |
| Rachel L. Riel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
| Pramoda Fatehchand, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8410 |