Jack S Elder, MD - Medicare Urology in Detroit, MI

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Jack S Elder, MD is a medicare enrolled "Urology" physician in Detroit, Michigan. His current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 916-2600.

Jack S Elder is licensed to practice in Ohio (license number 35-053721) 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 1457385072.

Contact Information

Jack S Elder, MD
2799 W Grand Blvd,
Detroit, MI 48202-2608
(313) 916-2600
(313) 916-9539

Map and Direction




Physician's Profile

Full NameJack S Elder
GenderMale
SpecialityUrology
Location2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457385072
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 01/09/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5991762247
  • Enrollment ID: I20150501001487

Medical Identifiers

Medical identifiers for Jack S Elder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457385072NPI-NPPES
020H277290OtherMIBCBS
1900370OtherOHUHC
0633587MedicaidOH
000000026163OtherOHANTHEM
1396817714OtherMIGROUP NPI
001953975002MedicaidPA
5196618MedicaidMI
P00388789OtherOHRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 35-053721 (Ohio)Primary
208800000XUrology 4301072611 (Michigan)Secondary

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. Jack S Elder allows following entities to bill medicare on his behalf.
Entity NameMassachusetts General Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801874573
PECOS PAC ID: 2466365820
Enrollment ID: O20031111000434
Entity NameThe General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023049236
PECOS PAC ID: 6507803806
Enrollment ID: O20080313000351

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. Jack S Elder 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
Jack S Elder, MD
1 Ford Pl, 2e,
Detroit, MI 48202-3450

Ph: (313) 916-2600		Jack S Elder, MD
2799 W Grand Blvd,
Detroit, MI 48202-2608

Ph: (313) 916-2600

Reviews and Comments


Urology Doctors in Detroit, MI

Ray H. Littleton, M.D.
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Dr. Ali A Dabaja, M.D
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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.