All Medicaid billing entities listing ELLENA, JOHN (MEDICAL DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Missouri | 1 | $406.33 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FAIRVIEW HEIGHTS MEDICAL GROUP SC | SAINT LOUIS, MO | Medical Specialty Clinic/Center | $406.33 |