| Jacob Liwosz, PA-C | |
|
630 E River St, Elyria, OH 44035-5902 | |
| (216) 396-4331 | |
| Not Available |
| Full Name | Jacob Liwosz |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 630 E River St, Elyria, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518791920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Entity Name | Physicians Link Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172925 PECOS PAC ID: 8527969492 Enrollment ID: O20040405000838 |
| Entity Name | Ues Ahuja LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467883934 PECOS PAC ID: 5496985467 Enrollment ID: O20140313001425 |
| Entity Name | Magis Emergency Medicine, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801287511 PECOS PAC ID: 2769700392 Enrollment ID: O20150410002555 |
| 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 |
|---|---|
| Jacob Liwosz, PA-C 630 E River St, Elyria, OH 44035-5902 Ph: (216) 396-4331 | Jacob Liwosz, PA-C 630 E River St, Elyria, OH 44035-5902 Ph: (216) 396-4331 |
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 |