Dr Elise W Van Der Jagt, MD in Rochester, NY

Dr Elise W Van Der Jagt, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Rochester, New York. His current practice location is 601 Elmwood Ave, Box 635, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 275-8138.

Dr Elise W Van Der Jagt is licensed to practice in New York (license number 124938) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083650949.

Contact Information

	Dr Elise W Van Der Jagt, MD
	601 Elmwood Ave, Box 635, Rochester, NY 14642-0001
	(585) 275-8138
	(585) 275-2352

Map and Direction

Physician's Profile

Full Name	Dr Elise W Van Der Jagt
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	601 Elmwood Ave, Rochester, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083650949
Provider Enumeration Date: 06/21/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6305026972
Enrollment ID: I20110215000060

Medical Identifiers

Medical identifiers for Dr Elise W Van Der Jagt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083650949	NPI	-	NPPES
00512863	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	124938 (New York)	Primary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	124938 (New York)	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. Dr Elise W Van Der Jagt allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Allergy Of Pulmonary
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013952688 PECOS PAC ID: 8628052057 Enrollment ID: O20040615000294

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. Dr Elise W Van Der Jagt 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
Dr Elise W Van Der Jagt, MD 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 Ph: (585) 275-8138	Dr Elise W Van Der Jagt, MD 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 Ph: (585) 275-8138

Reviews and Comments

Pediatrics Doctors in Rochester, NY

Dr. Rita Dadiz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Box 635, Rochester, NY 14642 Phone: 585-275-7787
Dr. Michael G. Martin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 White Spruce Blvd, Rochester, NY 14623 Phone: 585-272-9460
Tracy L Maier, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 353 Island Cottage Rd, Rochester, NY 14612 Phone: 585-225-2610 Fax: 585-581-1396
Dr. Jessica Morrison, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 585-922-2575
Aleena Zainab Jafri, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-756-4800
Matthew M Carlin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 S Clinton Avenue, Bldg 300 Ste 310, Rochester, NY 14618 Phone: 585-473-3535 Fax: 585-473-1837
Dr. Roger P Vermilion, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Box 631, Rochester, NY 14642 Phone: 585-275-6108 Fax: 585-442-0104

Dr Elise W Van Der Jagt, MD - Medicare Pediatrics in Rochester, NY