Elilta Bereketab, OD is a
Optometrist based in Watseka, Illinois. Elilta Bereketab is licensed to practice in Illinois (license number 046-009523) and her current practice location is
123 N 8th St, Watseka, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 829-5311.
NPI number for Elilta Bereketab is 1598712002 and her current mailing address is Po Box 757, Bloomington, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598712002.
Healthcare Provider's Profile
Full Name | Elilta Bereketab |
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Gender | Female |
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Speciality | Optometrist |
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Location | 123 N 8th St, Watseka, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598712002
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 12/22/2011
Medical Identifiers
Medical identifiers for Elilta Bereketab such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598712002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 046-009523 (Illinois) | Primary |
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. Elilta Bereketab is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elilta Bereketab, OD Po Box 757, Bloomington, IL 61702-0757 Ph: (309) 829-5311 | Elilta Bereketab, OD 123 N 8th St, Watseka, IL 60970-1443 Ph: (309) 829-5311 |
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