Edward C Elliott Iii, | |
2 Memorial Dr Ste 305, Decatur, IL 62526-3999 | |
(217) 876-4830 | |
(217) 876-8385 |
Full Name | Edward C Elliott Iii |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 11 Years |
Location | 2 Memorial Dr Ste 305, Decatur, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083957088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016-005738 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Decatur Memorial Hospital | Decatur, IL | Hospital |
Kirby Medical Center | Monticello, IL | Hospital |
St Marys Hospital | Decatur, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Decatur Orthopedic Center Llc | 4981844289 | 7 |
Kirby Medical Center | 6901791144 | 53 |
Provider Name | Kirby Medical Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386635373 PECOS PAC ID: 6901791144 Enrollment ID: O20050801000320 |
Provider Name | Decatur Orthopedic Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336586114 PECOS PAC ID: 4981844289 Enrollment ID: O20130710000446 |
Mailing Address | Practice Location Address |
---|---|
Edward C Elliott Iii, 2 Memorial Dr Ste 305, Decatur, IL 62526-3999 Ph: (217) 876-4830 | Edward C Elliott Iii, 2 Memorial Dr Ste 305, Decatur, IL 62526-3999 Ph: (217) 876-4830 |
Drs Graham & Graham Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave, Suite 150, Decatur, IL 62526 Phone: 217-875-3668 Fax: 217-845-4277 | |
Mr. Samuel E. Potts, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr, Suite 201, Decatur, IL 62526 Phone: 217-875-6980 Fax: 217-875-7710 | |
Family Foot & Ankle Clinic Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1390 N Fairview Ave, Decatur, IL 62526 Phone: 217-429-1512 Fax: 217-423-1465 | |
Lynae Aileen Pierson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr, Ste 100, Decatur, IL 62521 Phone: 217-429-1512 Fax: 217-423-1465 | |
Dr. Terrence M Graham, DPM,FACFAS Podiatrist Medicare: Medicare Enrolled Practice Location: 2 Memorial Dr Ste 305, Decatur, IL 62526 Phone: 217-876-4830 Fax: 217-876-8385 |