Clay Ellenwood, PA-C in Mentor, OH - Medicare

Clay Ellenwood, PA-C is a medicare enrolled "Physician Assistant - Medical" in Mentor, Ohio. His current practice location is 7232 Justin Way, Mentor, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 578-8200.

Clay Ellenwood is licensed to practice in Ohio (license number 50.006802RX) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588134456.

Contact Information

	Clay Ellenwood, PA-C
	7232 Justin Way, Mentor, OH 44060-4881
	(440) 578-8200
	Not Available

Provider's Profile

Full Name	Clay Ellenwood
Gender	Male
Speciality
Experience	Years
Location	7232 Justin Way, Mentor, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clay Ellenwood attended and graduated from in

NPI Data:

NPI Number: 1588134456
Provider Enumeration Date: 12/04/2018
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Clay Ellenwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588134456	NPI	-	NPPES
5601008913	Other	MI	DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	5601008913 (Michigan)	Secondary
363AM0700X	Physician Assistant - Medical	50.006802RX (Ohio)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clay Ellenwood is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Clay Ellenwood, PA-C 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200	Clay Ellenwood, PA-C 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200

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Physician Assistant Nurses in Mentor, OH

Victoria Celeste Radel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8655 Market St Ste 200, Mentor, OH 44060 Phone: 440-255-7938
Mrs. Adrienne Marie Colabuno, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9485 Mentor Ave, Mentor, OH 44060 Phone: 440-205-5716
Kelley L. Pastor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9220 Mentor Ave, Mentor, OH 44060 Phone: 440-354-9924 Fax: 877-242-9583
Zachary Knoeferl, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9110 Mentor Ave Unit 9b, Mentor, OH 44060 Phone: 440-701-8030
Lisa M Nedley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9485 Mentor Avenue, Suite 210, Mentor, OH 44060 Phone: 440-255-5571 Fax: 440-205-5548
Christina Marie Harris Stehouwer, PA-C, MPH Physician Assistant Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200

Clay Ellenwood, PA-C - Medicare in Mentor, OH