Elida Gricelda Trejo, FNP-BC is a medicare enrolled "Family Medicine" in Beach Park, Illinois. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
11316 W Wadsworth Rd Ste 103, Beach Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 404-9070.
Elida Gricelda Trejo is licensed to practice in Illinois (license number 277004895) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811777683.
Provider's Profile
| Full Name | Elida Gricelda Trejo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 11316 W Wadsworth Rd Ste 103, Beach Park, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Elida Gricelda Trejo graduated from nursing school in 2022
NPI Data:
- NPI Number: 1811777683
- Provider Enumeration Date: 09/29/2023
- Last Update Date: 04/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 3779935010
- Enrollment ID: I20240123000396
Medical Identifiers
Medical identifiers for Elida Gricelda Trejo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811777683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 041494182 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 277004895 (Illinois) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elida Gricelda Trejo allows following entities to bill medicare on her behalf.
| Entity Name | Provida Health Center SC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881890333
PECOS PAC ID: 1557386273
Enrollment ID: O20051012000360 |
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| Entity Name | NV Clinic & Wellness |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225987654
PECOS PAC ID: 3971075227
Enrollment ID: O20260617002733 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elida Gricelda Trejo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Elida Gricelda Trejo, FNP-BC
1425 N Hunt Club Rd Ste 100,
Gurnee, IL 60031-2632
Ph: (847) 548-2200 | Elida Gricelda Trejo, FNP-BC
11316 W Wadsworth Rd Ste 103,
Beach Park, IL 60099-3367
Ph: (708) 404-9070 |
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