Brook Ashlee Gram, PA-C
Brook Ashlee Gram, PA-C is a Physician Assistant in Beloit, Ohio. Qualified in 2006, 20 years ago. Practices with David J Corallo, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 20
- Licensed in
- OH
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
18586 5th StBeloit, OH 44609-9799
Phone: (330) 938-3333
Fax: (330) 938-9375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2565 (OH) |
|---|
Record details
| NPI number | 1740321090 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | February 9, 2007 |
| Last updated in NPPES | November 6, 2009 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | David J Corallo — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Beloit
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Mrs. Nicole Didonato, PA
18586 5th St, Beloit, OH 44609-9799 · (330) 938-3333