Dr Elliot David Blue, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Omaha, Nebraska. His current practice location is
982055 Nebraska Medical Ctr, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 559-7738.
Dr Elliot David Blue is licensed to practice in Nebraska (license number 9335) 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 1376168534.
Physician's Profile
Full Name | Dr Elliot David Blue |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 982055 Nebraska Medical Ctr, Omaha, Nebraska |
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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: 1376168534
- Provider Enumeration Date: 06/13/2020
- Last Update Date: 06/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143643072
- Enrollment ID: I20241024001353
Medical Identifiers
Medical identifiers for Dr Elliot David Blue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376168534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 11881 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 9335 (Nebraska) | 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 Elliot David Blue allows following entities to bill medicare on his behalf.
Entity Name | Avera Mckennan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
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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. Dr Elliot David Blue 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 Elliot David Blue, MD 982055 Nebraska Medical Ctr, Omaha, NE 68198-2055 Ph: (402) 559-7738 | Dr Elliot David Blue, MD 982055 Nebraska Medical Ctr, Omaha, NE 68198-2055 Ph: (402) 559-7738 |
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