| Kerri V Ellinger, PA-C | |
|
659 S Salisbury Blvd, Suite 4, Salisbury, MD 21801-5453 | |
| (410) 543-9111 | |
| (410) 543-9115 |
| Full Name | Kerri V Ellinger |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 38 Years |
| Location | 659 S Salisbury Blvd, Salisbury, Maryland |
| 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 |
|---|---|---|---|
| 1376732917 | NPI | - | NPPES |
| 357675ZC6D | Other | MD | MEDICARE ID |
| C0002365 | Other | MD | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0002365 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atlantic General Hospital | Berlin, MD | Hospital |
| Beebe Medical Center | Lewes, DE | Hospital |
| Tidalhealth Peninsula Regional, Inc | Salisbury, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidalhealth Specialty Care Llc | 7113340845 | 375 |
| Tidalhealth Atlantic Inc | 2365437837 | 95 |
| Entity Name | Tidalhealth Atlantic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871582171 PECOS PAC ID: 2365437837 Enrollment ID: O20040415000939 |
| Entity Name | Capital Womens Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679534069 PECOS PAC ID: 4880582741 Enrollment ID: O20050804000705 |
| Entity Name | Ydiprmc, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447783899 PECOS PAC ID: 3173897402 Enrollment ID: O20170925002220 |
| Entity Name | Tidalhealth Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerri V Ellinger, PA-C 8110 Maple Lawn Blvd Ste 235, Fulton, MD 20759-2694 Ph: (301) 340-8339 | Kerri V Ellinger, PA-C 659 S Salisbury Blvd, Suite 4, Salisbury, MD 21801-5453 Ph: (410) 543-9111 |
Ms. Marla Michelle Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Power St, Salisbury, MD 21804 Phone: 410-543-2060 Fax: 410-543-2051 |
Gian Aldous Poblete Flores, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1675 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-701-3327 |
Jessica Matthews Day-chrzaszcz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 659 S Salisbury Blvd, Suite 4, Salisbury, MD 21801 Phone: 410-543-9111 Fax: 410-543-9115 |
Mrs. Ashley Poole, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 106 Milford St Ste 103, Salisbury, MD 21804 Phone: 410-749-1171 |
Lea Marie Barker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Glen Ave, Salisbury, MD 21804 Phone: 410-543-9111 Fax: 410-543-9115 |
Nicolas Alejandro Alfonso Baron, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-546-6400 |
Hannah R Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1675 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-701-3327 |