| Ethan Michael Meisel, MD | |
|
211 E Ontario St, Suite 925, Chicago, IL 60611-3468 | |
| (312) 573-0614 | |
| (312) 573-0694 |
| Full Name | Ethan Michael Meisel |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 211 E Ontario St, Chicago, 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 |
|---|---|---|---|
| 1013029511 | NPI | - | NPPES |
| 171006162A | Medicaid | GA | |
| 171006162B | Medicaid | GA | |
| P01186845 | Other | IL | MEDICARE RAILROAD INDIVIDUAL PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | H95343 (Georgia) | Secondary |
| 208D00000X | General Practice | 036.123753 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grady Memorial Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Medical Care Foundation Inc | 4981501814 | 877 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Michael Meisel, MD 2001 Butterfield Rd, Suite 300, Downers Grove, IL 60515-1050 Ph: (630) 725-2832 | Ethan Michael Meisel, MD 211 E Ontario St, Suite 925, Chicago, IL 60611-3468 Ph: (312) 573-0614 |
Rita Zafra, MD General Practice Medicare: Medicare Enrolled Practice Location: 2004 N Pulaski Rd, Chicago, IL 60639 Phone: 773-772-8876 | |
Dr. Esmeraldo E Cordova, MD General Practice Medicare: Medicare Enrolled Practice Location: 3625 W Roosevelt Rd, Chicago, IL 60624 Phone: 773-522-0110 Fax: 630-964-8397 | |
Dr. Joseph Frank Michalski, MD, MPH, MS General Practice Medicare: Medicare Enrolled Practice Location: 820 S Wood St, Chicago, IL 60612 Phone: 516-497-1888 Fax: 813-336-8648 | |
William Pintelon, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 1969 W Ogden Ave, Chicago, IL 60612 Phone: 312-864-6000 | |
Dr. August James Frank, MD General Practice Medicare: Medicare Enrolled Practice Location: 1401 S California Ave Ste 1, Chicago, IL 60608 Phone: 773-565-3074 | |
Ivory S Rodriguez, APRN General Practice Medicare: Medicare Enrolled Practice Location: 3105 N Nordica Ave, Chicago, IL 60634 Phone: 312-459-3875 | |
Dr. Alejandro Rarang, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1044 N Francisco Ave, Chicago, IL 60622 Phone: 773-292-8278 |