| Dr Ibrahim Amae Elemo, MD | |
|
1800 E Lake Shore Dr, Decatur, IL 62521-3810 | |
| (217) 464-5811 | |
| (217) 464-1318 |
| Full Name | Dr Ibrahim Amae Elemo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 1800 E Lake Shore Dr, Decatur, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831478627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036134398 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 61530 (Minnesota) | Secondary |
| 207R00000X | Internal Medicine | 036134398 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Fairview Southdale Hospital | Edina, MN | Hospital |
| Fairview Ridges Hospital | Burnsville, MN | Hospital |
| Maple Grove Hospital | Maple grove, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Memorial Health Care | 0042123028 | 469 |
| Fairview Health Services | 1951213057 | 551 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Healtheast Woodwinds Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Healtheast St John's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
| Entity Name | North Memorial Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ibrahim Amae Elemo, MD 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-5811 | Dr Ibrahim Amae Elemo, MD 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-5811 |
Dr. Jeanne Marie Kairouz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521 Phone: 217-422-6100 | |
Dr. Stephen R Goetter, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526 Phone: 217-876-5600 Fax: 217-876-5664 | |
Dr. Prameeta Jha, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St Ste 3200, Decatur, IL 62526 Phone: 217-876-3660 Fax: 217-876-3665 | |
David W Baumberger, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526 Phone: 217-876-5600 Fax: 217-876-5664 | |
Dr. Ahmad H Ahmad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr, Suite 201, Decatur, IL 62521 Phone: 217-428-7921 Fax: 217-428-7931 | |
Nadal M Aker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Suite 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405 | |
Omar Mohammad Al-heeti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 W Hay St Ste 212, Decatur, IL 62526 Phone: 217-876-4390 Fax: 217-876-4395 |