| Ellison Pratley, PA-C | |
|
3777 N Frontage Rd Ste 900, Michigan City, IN 46360-7698 | |
| (219) 921-1444 | |
| Not Available |
| Full Name | Ellison Pratley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 3777 N Frontage Rd Ste 900, Michigan City, Indiana |
| 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 |
|---|---|---|---|
| 1154153963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Michigan City | Michigan city, IN | Hospital |
| Northwest Health-la Porte | La porte, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeshore Bone And Joint Institute, Pc | 3173500519 | 82 |
| Entity Name | Lakeshore Bone & Joint Institute, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508853953 PECOS PAC ID: 3173500519 Enrollment ID: O20040702000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellison Pratley, PA-C 601 Gateway Blvd N, Chesterton, IN 46304-9658 Ph: (219) 921-1444 | Ellison Pratley, PA-C 3777 N Frontage Rd Ste 900, Michigan City, IN 46360-7698 Ph: (219) 921-1444 |
Victoria Ngozi Anichebe, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1225 E Coolspring Ave Ste 200, Michigan City, IN 46360 Phone: 317-528-4800 Fax: 317-865-1479 |
Abigail Gabriela Gemeinhart, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way Ste 300, Michigan City, IN 46360 Phone: 219-877-1101 Fax: 219-877-1187 |
Jacqueline Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8955 W 400 N, Michigan City, IN 46360 Phone: 219-861-5800 Fax: 219-861-5543 |
Emily A Damitz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1225 E Coolspring Ave Ste 300, Michigan City, IN 46360 Phone: 219-878-5032 Fax: 219-878-5052 |
Kevin Smith, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-861-8161 Fax: 219-873-9504 |
Carolyn M Valois, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way Ste 400, Michigan City, IN 46360 Phone: 219-861-8785 Fax: 219-861-8789 |
Kristin Osan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8865 W 400 N Ste 120, Michigan City, IN 46360 Phone: 219-878-5031 Fax: 219-879-5498 |