| Charles R Ellington, MD | |
|
544 W Palmer St, Arthur, IL 61911-1240 | |
| (217) 281-3844 | |
| (217) 353-3130 |
| Full Name | Charles R Ellington |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 544 W Palmer St, Arthur, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407833130 | NPI | - | NPPES |
| 036101455 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-101455 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Homecare, Inc | Sullivan, IL | Home health agency |
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| St Marys Hospital | Decatur, IL | Hospital |
| Arthur Home, The | Arthur, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christie Clinic, Pllc | 7719899319 | 210 |
| Entity Name | Christie Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
| Entity Name | Siu Physicians & Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| Entity Name | Board Of Trustees Of Southern Illinois University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R Ellington, MD 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 366-1255 | Charles R Ellington, MD 544 W Palmer St, Arthur, IL 61911-1240 Ph: (217) 281-3844 |
Patrick Hartman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 211 S Walnut St, Arthur, IL 61911 Phone: 217-543-3444 |