| Kathleen Dunlevy Ellis, PA-C | |
|
611 E Douglas Rd Ste 207, Mishawaka, IN 46545-1465 | |
| (574) 335-6850 | |
| Not Available |
| Full Name | Kathleen Dunlevy Ellis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 611 E Douglas Rd Ste 207, Mishawaka, 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 |
|---|---|---|---|
| 1891570545 | NPI | - | NPPES |
| 300080410 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 10004107A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Joseph Regional Medical Center Inc | 8325950843 | 126 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Dunlevy Ellis, PA-C 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: () - | Kathleen Dunlevy Ellis, PA-C 611 E Douglas Rd Ste 207, Mishawaka, IN 46545-1465 Ph: (574) 335-6850 |
Megan Michelle Poole, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Collins Abere, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Shannon Jackson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 203, Mishawaka, IN 46545 Phone: 574-335-6640 Fax: 574-335-0621 | |
Mrs. Diana E Perez - Solano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 207, Mishawaka, IN 46545 Phone: 574-335-6850 Fax: 574-335-0849 | |
Emily Elston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 505 W Cleveland Rd, Mishawaka, IN 46545 Phone: 574-235-3135 | |
Gabriela Vettorello, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1802 Day Rd, Mishawaka, IN 46545 Phone: 574-204-7200 | |
Emily Grace Gouker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 270 E Day Rd Ste 280, Mishawaka, IN 46545 Phone: 574-271-0268 Fax: 574-271-0395 |