| Ms Suzanne Ellis, FNP-BC | |
|
6252 Mahoning Ave, Austintown, OH 44515-2003 | |
| (330) 656-5911 | |
| (330) 656-5901 |
| Full Name | Ms Suzanne Ellis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 6252 Mahoning Ave, Austintown, Ohio |
| 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 |
|---|---|---|---|
| 1689075343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | COA-16387NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mves Boardman Llc | 4688694722 | 30 |
| Entity Name | Mahoning Valley Emergency Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003869652 PECOS PAC ID: 5698758993 Enrollment ID: O20040609000114 |
| Entity Name | Mves Austintown Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972555944 PECOS PAC ID: 1355308875 Enrollment ID: O20041216000550 |
| Entity Name | Mves Boardman Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205888237 PECOS PAC ID: 4688694722 Enrollment ID: O20051202000794 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Suzanne Ellis, FNP-BC 5700 Darrow Rd, Suite 106, Hudson, OH 44236-5026 Ph: (330) 656-5911 | Ms Suzanne Ellis, FNP-BC 6252 Mahoning Ave, Austintown, OH 44515-2003 Ph: (330) 656-5911 |
Mrs. Melanie Marie Klockner, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5480 Norquest Blvd, Austintown, OH 44515 Phone: 330-779-0529 | |
Mr. Joshua Steven Mcgaffic, MSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5760 Patriot Blvd # C, Austintown, OH 44515 Phone: 330-270-8610 | |
Ms. Kimberly A Tindell, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5760 Patriot Drive, Austintown, OH 44515 Phone: 330-610-6476 | |
Kyle Guterba, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 N Canfield Niles Rd Ste 110, Austintown, OH 44515 Phone: 330-798-0491 Fax: 330-303-4948 | |
Mr. Daniel Lee Ludwig Jr., NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Ohltown Rd, Austintown, OH 44515 Phone: 330-884-1504 | |
Mellisa Ann Brown, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5760 Patriot Blvd, Austintown, OH 44515 Phone: 330-270-8610 | |
Ryan Matthew Costlow, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5605 Madrid Dr, Austintown, OH 44515 Phone: 330-518-2902 |