Dr L Edward Elliott, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Escalon, California. His current practice location is
1555 Viking St, Escalon, California. You can reach out to his office (for appointments etc.) via phone at
(209) 838-7263.
Dr L Edward Elliott is licensed to practice in California (license number 4716T) 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 1023000502.
Healthcare Provider's Profile
| Full Name | Dr L Edward Elliott |
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| Gender | Male |
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| Speciality | Optometrist - Corneal And Contact Management |
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| Location | 1555 Viking St, Escalon, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023000502
- Provider Enumeration Date: 08/19/2005
- Last Update Date: 06/21/2010
Medicare PECOS Information:
- PECOS PAC ID: 0446399216
- Enrollment ID: I20091208000468
Medical Identifiers
Medical identifiers for Dr L Edward Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023000502 | NPI | - | NPPES |
| SD0047161 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152WC0802X | Optometrist - Corneal And Contact Management | 4716T (California) | 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 L Edward Elliott allows following entities to bill medicare on his behalf.
| Provider Name | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1760558498
PECOS PAC ID: 0547309312
Enrollment ID: O20091208000443 |
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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 L Edward 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 Address | Practice Location Address |
|---|
Dr L Edward Elliott, OD
1555 Viking St,
Escalon, CA 95320-1742
Ph: (209) 838-7263 | Dr L Edward Elliott, OD
1555 Viking St,
Escalon, CA 95320-1742
Ph: (209) 838-7263 |
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