Elizabeth Nietert, MD | |
751 N Rutledge St, Suite 2300, Springfield, IL 62702-4968 | |
(217) 545-3821 | |
(217) 545-4485 |
Full Name | Elizabeth Nietert |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 18 Years |
Location | 751 N Rutledge St, Springfield, 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 |
---|---|---|---|
1619199072 | NPI | - | NPPES |
036130434 | Medicaid | IL | |
1619199072 | Medicaid | WI | |
171400024 | Other | WI | MEDICARE |
54439-020 | Other | WI | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 54439-020 (Wisconsin) | Secondary |
207N00000X | Dermatology | 036-130434 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forefront Dermatology | 3779471701 | 483 |
Siu Physicians And Surgeons Inc | 2365352820 | 282 |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083768253 PECOS PAC ID: 3779471701 Enrollment ID: O20040310000252 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Nietert, MD Po Box 19644, Springfield, IL 62794-9644 Ph: (217) 545-8000 | Elizabeth Nietert, MD 751 N Rutledge St, Suite 2300, Springfield, IL 62702-4968 Ph: (217) 545-3821 |
Bredesen Hartmann, MD Dermatology Medicare: Medicare Enrolled Practice Location: 751 N Rutledge St Ste 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7438 | |
Mrs. Lucinda S Buescher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3821 Fax: 217-545-4485 | |
Kortni Michell Kemper, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 751 N Rutledge St Ste 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7438 | |
Elizabeth A Small, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Dr. Adarsh A Kumar, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2040 Timberbrooke Drive, Springfield, IL 62702 Phone: 217-787-2511 Fax: 217-787-2513 | |
Rebecca J Larson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Suite 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-4485 | |
Dr. Brittany Sweet, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Centre West Dr, Springfield, IL 62704 Phone: 217-528-7541 |