Dr Elisha Blackmar Van Deusen Iv, DC - Medicare Chiropractor in Fountain Valley, CA

Dr Elisha Blackmar Van Deusen Iv, DC is a medicare enrolled "Chiropractor" provider in Fountain Valley, California. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Chiropractic. His current practice location is 17220 Newhope St, Suite 123, Fountain Valley, California. You can reach out to his office (for appointments etc.) via phone at (714) 556-6966.

Dr Elisha Blackmar Van Deusen Iv is licensed to practice in California (license number DC28866) 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 1265445837.

Contact Information

Dr Elisha Blackmar Van Deusen Iv, DC
17220 Newhope St, Suite 123,
Fountain Valley, CA 92708-4272
(714) 556-6966
(714) 556-6967

Map and Direction




Healthcare Provider's Profile

Full NameDr Elisha Blackmar Van Deusen Iv
GenderMale
SpecialityChiropractic
Experience22 Years
Location17220 Newhope St, Fountain Valley, California
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:
  • Dr Elisha Blackmar Van Deusen Iv graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1265445837
  • Provider Enumeration Date: 08/14/2006
  • Last Update Date: 04/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2668417494
  • Enrollment ID: I20050622001088

Medical Identifiers

Medical identifiers for Dr Elisha Blackmar Van Deusen Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265445837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor DC28866 (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 Elisha Blackmar Van Deusen Iv allows following entities to bill medicare on his behalf.
Provider NameNewhope Chiropractic
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1699830620
PECOS PAC ID: 9032154869
Enrollment ID: O20050622001081

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 Elisha Blackmar Van Deusen Iv 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
Dr Elisha Blackmar Van Deusen Iv, DC
17220 Newhope St, Suite 123,
Fountain Valley, CA 92708-4272

Ph: (714) 556-6966
Dr Elisha Blackmar Van Deusen Iv, DC
17220 Newhope St, Suite 123,
Fountain Valley, CA 92708-4272

Ph: (714) 556-6966

Reviews and Comments


Chiropractor in Fountain Valley, CA

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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.