| Eldorado Emergency Group Pc | |
|
1201 Pine St Eldorado IL 62930-1634 | |
| (618) 273-3361 | |
| (618) 273-2571 |
| Full Name | Eldorado Emergency Group Pc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1201 Pine St, Eldorado, Illinois |
| Authorized Official Name and Position | Christopher P Lipsmeyer (DIRECTOR) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eldorado Emergency Group Pc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Eldorado Emergency Group Pc 1201 Pine St Eldorado IL 62930-1634 Ph: (618) 273-3361 |
| NPI Number | 1235868191 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 06/07/2022 |
| Medicare PECOS PAC ID | 3678955028 |
|---|---|
| Medicare Enrollment ID | O20220801002597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235868191 | NPI | - | NPPES |
| Provider Name | Berkman Gordon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619959269 PECOS PAC ID: 2961398540 Enrollment ID: I20040223000638 |
| Provider Name | Gerald W Mcclallen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285686709 PECOS PAC ID: 2769477256 Enrollment ID: I20040415000359 |
| Provider Name | William Boston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215971197 PECOS PAC ID: 2062480247 Enrollment ID: I20040924000480 |
| Provider Name | Kristen L Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750308227 PECOS PAC ID: 6608843263 Enrollment ID: I20040927000763 |
| Provider Name | Chinedu Uzoma Maduakolam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114912557 PECOS PAC ID: 7517952039 Enrollment ID: I20041006000361 |
| Provider Name | Michael E Mandis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821065764 PECOS PAC ID: 8820047699 Enrollment ID: I20050119000426 |
| Provider Name | Pak K Fung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265487870 PECOS PAC ID: 9436174422 Enrollment ID: I20051010000102 |
| Provider Name | Michael Steven Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295789576 PECOS PAC ID: 2062434616 Enrollment ID: I20051222000477 |
| Provider Name | Syed Hassan Khalid Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942226949 PECOS PAC ID: 2466455738 Enrollment ID: I20060808000013 |
| Provider Name | Faisal Lala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205965787 PECOS PAC ID: 9739280231 Enrollment ID: I20070727000684 |
| Provider Name | Mark Kiplagat Rotich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659393601 PECOS PAC ID: 3971694100 Enrollment ID: I20070802000294 |
| Provider Name | Paul W Koch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487623286 PECOS PAC ID: 2163497025 Enrollment ID: I20080822000227 |
| Provider Name | Syed Ahmed Naseeruddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760599575 PECOS PAC ID: 4981754017 Enrollment ID: I20110808000747 |
| Provider Name | Joshua D Hastie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447545686 PECOS PAC ID: 9830335553 Enrollment ID: I20130424000716 |
| Provider Name | Susan Sigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063885101 PECOS PAC ID: 9335445568 Enrollment ID: I20160314001616 |
| Provider Name | Terry Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679552681 PECOS PAC ID: 1951322676 Enrollment ID: I20180419002381 |
| Provider Name | Meghan A Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346711553 PECOS PAC ID: 1456699925 Enrollment ID: I20190207000946 |
| Provider Name | Constance M Murrayii-henshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760081483 PECOS PAC ID: 4789092362 Enrollment ID: I20210420002076 |
| Provider Name | Brandon Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245840636 PECOS PAC ID: 8022427921 Enrollment ID: I20210505001722 |
| Provider Name | John O Levine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881694990 PECOS PAC ID: 0840235966 Enrollment ID: I20210817000107 |
| Provider Name | Nevine Mahmoud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265608038 PECOS PAC ID: 1850551680 Enrollment ID: I20220714003298 |
| Provider Name | Melissa Jo Welge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962028407 PECOS PAC ID: 1850776535 Enrollment ID: I20220915003599 |
Harrisburg Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1007 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-7723 Fax: 618-252-4027 | |
Christopher Greater Area Rural Health Planning Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-2951 Fax: 618-273-2712 | |
Albert G Bledig Md Chartered Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Locust St, Eldorado, IL 62930 Phone: 618-273-5511 Fax: 618-273-3322 | |
Ferrell Hospital Community Foundation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1306 Maple St, Eldorado, IL 62930 Phone: 618-297-9665 Fax: 618-297-9638 | |
Med Contract Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 4th St, Eldorado, IL 62930 Phone: 618-273-2100 Fax: 618-273-2110 | |
Ferrell Hospital Community Foundation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-297-9660 Fax: 618-273-2110 |