Edward C Elliott Iii, - Medicare Podiatry in Decatur, IL

Edward C Elliott Iii, is a medicare enrolled "Orthopaedic Surgery - Foot And Ankle Surgery" physician in Decatur, Illinois. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 2013 and has 13 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Mid-valley Healthcare Inc and his current practice location is 2 Memorial Dr Ste 305, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 876-4830.

Edward C Elliott Iii is licensed to practice in Oregon (license number DP220790) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083957088.

Contact Information

Edward C Elliott Iii,
2 Memorial Dr Ste 305,
Decatur, IL 62526-3999
(217) 876-4830
(217) 876-8385

Map and Direction




Physician's Profile

Full NameEdward C Elliott Iii
GenderMale
SpecialityPodiatry
Experience13 Years
Location2 Memorial Dr Ste 305, Decatur, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edward C Elliott Iii attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 2013
  NPI Data:
  • NPI Number: 1083957088
  • Provider Enumeration Date: 03/28/2013
  • Last Update Date: 03/11/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0345484606
  • Enrollment ID: I20240903000747

Medical Identifiers

Medical identifiers for Edward C Elliott Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083957088NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0004XOrthopaedic Surgery - Foot And Ankle Surgery DP220790 (Oregon)Primary
213E00000XPodiatrist 016-005738 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan Lebanon Community HospitalLebanon, ORHospital
Samaritan Albany General HospitalAlbany, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mid-valley Healthcare Inc2769391523143

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. Edward C Elliott Iii allows following entities to bill medicare on his behalf.
Entity NameMid-valley Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20031111000297
Entity NameGood Samaritan Hospital Corvallis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962453134
PECOS PAC ID: 1557270725
Enrollment ID: O20031125000163
Entity NameSamaritan North Lincoln Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20040120000329
Entity NameSamaritan Pacific Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174888010
PECOS PAC ID: 2466353529
Enrollment ID: O20040204000304
Entity NameAlbany General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154372340
PECOS PAC ID: 9931097987
Enrollment ID: O20040310000310
Entity NameSamaritan North Lincoln Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20061104000117
Entity NameMid-valley Healthcare Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20061104000140
Entity NameSamaritan Pacific Health Services Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1801847066
PECOS PAC ID: 2466353529
Enrollment ID: O20061104000163

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. Edward C Elliott Iii 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
Edward C Elliott Iii,
Po Box 1189,
Corvallis, OR 97339-1189

Ph: Not Available
Edward C Elliott Iii,
2 Memorial Dr Ste 305,
Decatur, IL 62526-3999

Ph: (217) 876-4830

Reviews and Comments


Orthopaedic Surgery Doctors in Decatur, IL

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Dr. John Chris Kefalas, M.D.
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Dr. Kenneth Tuan, M.D.
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Practice Location: 304 W Hay St Ste 218, Decatur, IL 62526
Phone: 217-528-7541    

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.

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