Dominique Ely, | |
747 N Rutledge St Fl 4, Springfield, IL 62702-6700 | |
(217) 545-8000 | |
Not Available |
Full Name | Dominique Ely |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 747 N Rutledge St Fl 4, Springfield, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629490081 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Decatur Memorial Hospital | Decatur, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Siu Physicians And Surgeons Inc | 2365352820 | 275 |
Entity Name | Siu Physicians & Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
Entity Name | Carle Health Care Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
---|---|
Dominique Ely, 201 E Madison St Ste 328, Springfield, IL 62702-5131 Ph: (217) 545-8000 | Dominique Ely, 747 N Rutledge St Fl 4, Springfield, IL 62702-6700 Ph: (217) 545-8000 |
Alissa Danielle Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704 Phone: 217-862-0800 | |
Lindsey Ostermeier, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 | |
Jessica L Lee, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 W Carpenter St, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-528-7144 | |
Mr. Jay Benoit, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St Fl 5, Springfield, IL 62702 Phone: 217-545-8000 | |
Rebecca L Saunders, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Pav 4b, Springfield, IL 62701 Phone: 217-545-7500 Fax: 217-545-7305 | |
Melanie R Reynolds, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704 Phone: 217-862-0730 Fax: 217-862-0822 | |
Amanda L. House, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 |