| Julie Elias, MD | |
|
2680 W Centre Ave, Portage, MI 49024-4828 | |
| (269) 324-2400 | |
| (269) 324-0450 |
| Full Name | Julie Elias |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 2680 W Centre Ave, Portage, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215078142 | NPI | - | NPPES |
| 0C910950 | Other | MI | BCBSM |
| 1215078142 | Medicaid | MI | |
| 4949250 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 4301088858 (Michigan) | Primary |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Elias, MD 2680 W Centre Ave, Portage, MI 49024-4828 Ph: (269) 324-2400 | Julie Elias, MD 2680 W Centre Ave, Portage, MI 49024-4828 Ph: (269) 324-2400 |
Sara Ehlke-bejcek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2680 W Centre Ave, Portage, MI 49024 Phone: 269-324-2400 Fax: 269-324-0450 | |
Linda Garrison, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8001 Angling Rd, Portage, MI 49024 Phone: 269-329-0944 | |
Randall L Dyk, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 670 Mall Dr, Portage, MI 49024 Phone: 269-491-3263 | |
Dr. Anthony J Van Es, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5082 Lovers Ln, Portage, MI 49002 Phone: 269-381-0118 Fax: 269-381-4610 | |
Dr. Elena Jean Lewis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1324 W Milham Ave, Suite 1, Portage, MI 49024 Phone: 269-342-0196 Fax: 269-342-0532 | |
Thomas R Akland, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8001 Angling Rd, Portage, MI 49024 Phone: 269-329-0944 |