| Patti A Ellison, | |
|
25 Whitney Dr Ste 122, Milford, OH 45150-8400 | |
| (513) 941-4999 | |
| (513) 694-0168 |
| Full Name | Patti A Ellison |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 25 Whitney Dr Ste 122, Milford, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144260035 | NPI | - | NPPES |
| 2200577 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.166532 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | APRN.CNP.04386 (Ohio) | Primary |
| Entity Name | Sunrise Treatment Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992043053 PECOS PAC ID: 8628336617 Enrollment ID: O20180313001475 |
| Mailing Address | Practice Location Address |
|---|---|
| Patti A Ellison, 6460 Harrison Ave Ste 200, Cincinnati, OH 45247-7958 Ph: (513) 941-4999 | Patti A Ellison, 25 Whitney Dr Ste 122, Milford, OH 45150-8400 Ph: (513) 941-4999 |
Sarah Winholt, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5817 Happy Hollow Rd, Milford, OH 45150 Phone: 513-327-9244 Fax: 513-323-5201 | |
Jenna Pfiester, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1064 State Route 28 Ste F, Milford, OH 45150 Phone: 513-981-4050 Fax: 513-322-4859 | |
Marshal Lewis Thaxter, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 824 Main St, Milford, OH 45150 Phone: 513-774-5606 | |
Lydia Joy Kern, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 905 Main St, Milford, OH 45150 Phone: 513-248-1210 Fax: 519-248-3065 | |
Rebecca Leach, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Chamber Dr, Milford, OH 45150 Phone: 513-475-8050 Fax: 513-248-1809 | |
Ashlin Nichole Harmeyer, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 824 Main St, Milford, OH 45150 Phone: 513-774-5606 | |
Kelly F Oakes, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 905 Main St, Milford, OH 45150 Phone: 513-248-1210 Fax: 513-248-3065 |