Elilta Bereketab, OD is a medicare enrolled "Optometrist" provider in Watseka, Illinois. Her current practice location is
123 N 8th St, Watseka, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 829-5311.
Elilta Bereketab is licensed to practice in Illinois (license number 046-009523) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598712002
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 12/22/2011
Medicare PECOS Information:
- PECOS PAC ID: 1254318827
- Enrollment ID: I20040701000637
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 Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elilta Bereketab allows following entities to bill medicare on her behalf.
Provider Name | Marion Eye Centers Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1508865643 PECOS PAC ID: 3072426774 Enrollment ID: O20031125000609 |
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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
enrolled with medicare and thus, if eligible, can 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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