| Ellen Flora, | |
|
101 W University Ave, Champaign, IL 61820-3981 | |
| (217) 366-1248 | |
| Not Available |
| Full Name | Ellen Flora |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 101 W University Ave, Champaign, 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 |
|---|---|---|---|
| 1003699158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Modern Dermatology Of Kentucky Llc | 5496166308 | 14 |
| Entity Name | Modern Dermatology of Kentucky LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699382507 PECOS PAC ID: 5496166308 Enrollment ID: O20201125001868 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Flora, 4550 Nicklaus Dr Apt 306, Champaign, IL 61822-1508 Ph: (803) 645-2068 | Ellen Flora, 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 366-1248 |
Kristine S Anderson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-383-3260 Fax: 217-383-4459 |
Jessica Bolger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3101 Fields South Dr, Champaign, IL 61822 Phone: 217-366-1228 |
Allen Thomas, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-8130 Fax: 217-366-6106 |
Julie A Young, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 Phone: 217-383-3260 Fax: 217-383-4459 |
Whitney Kauffman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-8107 Fax: 217-366-6106 |
Mr. James Edward Wallace Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 W University Ave, Spine And Pain Management, Champaign, IL 61820 Phone: 217-366-8796 Fax: 217-366-6106 |
River Andres, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 819 Bloomington Rd, Champaign, IL 61820 Phone: 217-356-1558 |