Elizabeth Eliacin, MD
Individual provider Active NPI Internal Medicine Physician · Calais, ME
NPI 1215918461 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1215918461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 055125 (GA)
- Practice address
- 24 Hospital LN
Calais, ME 04619-1329 - Phone
- (207) 454-9300
- Fax
- (207) 454-9238
- NPI assigned
- Nov 7, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Physicians Group Hospitalists, LLC | Internal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 055125 | GA | Yes |
Addresses
Primary practice location
24 Hospital LN
Calais, ME 04619-1329
Mailing address
24 Hospital LN
Calais, ME 04619-1329
Phone (207) 454-9300
Other practice location 1
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4025
Other providers in Calais, ME
- Emily Elizabeth Doten
- Down East Community Hospital
- Brandy L Dubay
- Tiffany M Duchesneau
- Eastport Health Care, Inc.
- Christian Emery
- Equilibrium Coaching and Support Services LLC
- James Edward Eshleman
- Evergreen Assisted Living of Calais
- David Feiner
All providers in Calais, ME · Internal Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.