Dr Audrey Erlene Ellenwood, PHD in Sylvania, OH - Medicare Clinical Psychologist Provider

Dr Audrey Erlene Ellenwood, PHD is a medicare enrolled "Psychologist" provider in Sylvania, Ohio. She graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 6400 Monroe St, Suite E, Sylvania, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 885-4121.

Dr Audrey Erlene Ellenwood is licensed to practice in Ohio (license number 3998) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265547681.

Contact Information

	Dr Audrey Erlene Ellenwood, PHD
	6400 Monroe St, Suite E, Sylvania, OH 43560-1453
	(419) 885-4121
	Not Available

Healthcare Provider's Profile

Full Name	Dr Audrey Erlene Ellenwood
Gender	Female
Speciality	Clinical Psychologist
Experience	37 Years
Location	6400 Monroe St, Sylvania, 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.

Medical Education and Training:

Dr Audrey Erlene Ellenwood graduated from medical school in 1987

NPI Data:

NPI Number: 1265547681
Provider Enumeration Date: 08/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2668655622
Enrollment ID: I20110329000323

Medical Identifiers

Medical identifiers for Dr Audrey Erlene Ellenwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265547681	NPI	-	NPPES
023158	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3998 (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. Dr Audrey Erlene 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
Dr Audrey Erlene Ellenwood, PHD 5303 Spring Creek Ln, Sylvania, OH 43560-1317 Ph: (419) 885-4121	Dr Audrey Erlene Ellenwood, PHD 6400 Monroe St, Suite E, Sylvania, OH 43560-1453 Ph: (419) 885-4121

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Psychologist in Sylvania, OH

Sarah Lynne Darrow, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7860 Saltwood Ct, Sylvania, OH 43560 Phone: 419-266-1237
Rachel Marie Nijakowski, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6832 Convent Blvd, Sylvania, OH 43560 Phone: 419-882-4529 Fax: 419-885-7612
Mrs. Wesley Holmes Konesky, M. ED, ED. S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5600 Monroe St Ste 103b, Sylvania, OH 43560 Phone: 419-885-5952 Fax: 419-885-7630
Dr. Marc Boyer Dielman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5600 Monroe St, Suite 103b, Sylvania, OH 43560 Phone: 419-885-5952 Fax: 419-885-7630
Sandra J Elliot, LPCC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5600 Monroe St, Ste 201, Sylvania, OH 43560 Phone: 419-885-1910 Fax: 419-885-5060
Jason Randall Dura, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8165 Kevin Ln, Sylvania, OH 43560 Phone: 419-885-2751 Fax: 419-824-0455

Dr Audrey Erlene Ellenwood, PHD - Medicare Psychologist in Sylvania, OH