Shanna Ruth Elliott, DO - Medicare Family Practice in Waterloo, IA

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Shanna Ruth Elliott, DO is a medicare enrolled "Family Medicine" physician in Waterloo, Iowa. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sumner Community Club and her current practice location is 2055 Kimball Ave, Suite 101, Waterloo, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 272-2112.

Shanna Ruth Elliott is licensed to practice in Iowa (license number R-10280) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629458302.

Contact Information

Shanna Ruth Elliott, DO
2055 Kimball Ave, Suite 101,
Waterloo, IA 50702
(319) 272-2112
(319) 272-2107

Map and Direction




Physician's Profile

Full NameShanna Ruth Elliott
GenderFemale
SpecialityFamily Practice
Experience9 Years
Location2055 Kimball Ave, Waterloo, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shanna Ruth Elliott graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1629458302
  • Provider Enumeration Date: 06/08/2015
  • Last Update Date: 06/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0042526360
  • Enrollment ID: I20160811000350

Medical Identifiers

Medical identifiers for Shanna Ruth Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629458302NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R-10280 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Care Initiatives Hospice - Cedar FallsCedar falls, IAHospice
Community Memorial Hospital Medical CenterSumner, IAHospital
Allen HospitalWaterloo, IAHospital
Hillcrest HomeSumner, IANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sumner Community Club58906076919

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. Shanna Ruth Elliott allows following entities to bill medicare on her behalf.
Entity NameSumner Community Club
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801818661
PECOS PAC ID: 5890607691
Enrollment ID: O20040109000930
Entity NameSumner Community Club
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1780684548
PECOS PAC ID: 5890607691
Enrollment ID: O20061104000206
Entity NameSumner Community Club
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1366442295
PECOS PAC ID: 5890607691
Enrollment ID: O20061215000095

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. Shanna Ruth Elliott 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 AddressPractice Location Address
Shanna Ruth Elliott, DO
2055 Kimball Ave, Suite 101,
Waterloo, IA 50702

Ph: (319) 272-2112		Shanna Ruth Elliott, DO
2055 Kimball Ave, Suite 101,
Waterloo, IA 50702

Ph: (319) 272-2112

Reviews and Comments


Family Medicine Doctors in Waterloo, IA

Kurtis Alan Lucas, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2055 Kimball Ave Ste 101, Waterloo, IA 50702
Phone: 319-272-2112    Fax: 319-272-2107
Mark J Louviere, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 212 W Dale St, Waterloo, IA 50703
Phone: 319-235-3568    Fax: 319-235-5013
Dr. Robert L Friedman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702
Phone: 319-272-2112    Fax: 319-272-2107
Manpreet Singh Gill, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702
Phone: 319-272-2112    Fax: 319-272-2107
Sejla Cejvanovic, ARNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 905 Franklin St, Waterloo, IA 50703
Phone: 319-874-3000    
Emily Rose Pursley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Medical Arts Bldg., 2055 Kimball Ave. Suite 101, Waterloo, IA 50702
Phone: 319-272-2112    
Brett D Van Kley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702
Phone: 319-272-2112    Fax: 319-272-2107

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.