Elias Trace, MD | |
701 N 1st St Ste D220, Springfield, IL 62702-3757 | |
(217) 545-3518 | |
(217) 545-2711 |
Full Name | Elias Trace |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 701 N 1st St Ste D220, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396237095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125072391 (Illinois) | Primary |
Entity Name | Midwest Emergency Department Specialists Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245263367 PECOS PAC ID: 5193627727 Enrollment ID: O20040123000845 |
Entity Name | Passavant Memorial Area Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760994040 PECOS PAC ID: 3173503281 Enrollment ID: O20180508002390 |
Mailing Address | Practice Location Address |
---|---|
Elias Trace, MD Po Box 19679, Springfield, IL 62794-9679 Ph: (217) 545-3518 | Elias Trace, MD 701 N 1st St Ste D220, Springfield, IL 62702-3757 Ph: (217) 545-3518 |
Christopher Inabnit, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 | |
Dr. Sumesh Jain, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-757-7465 Fax: 217-788-5591 | |
Kelly Galanos, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 | |
Dr. Shreya Lankala, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 | |
Dr. Alexis Catherine Gazda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 | |
Michaelia Vasilia Fosses Vuong, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 N 1st St Ste D220, Springfield, IL 62702 Phone: 217-545-3518 | |
Dr. Kylee Marie Elleman, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St Ste D220, Springfield, IL 62781 Phone: 217-545-3518 |