Elliot Rogers, is a medicare enrolled "Psychologist" provider in Salem, Massachusetts. His current practice location is
110 Boston St, Salem, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(860) 416-4076.
Elliot Rogers is licensed to practice in * (Not Available) (license number ) 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 1699130278.
Healthcare Provider's Profile
| Full Name | Elliot Rogers |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 110 Boston St, Salem, Massachusetts |
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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: 1699130278
- Provider Enumeration Date: 12/23/2015
- Last Update Date: 12/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 3577919109
- Enrollment ID: I20231102000470
Medical Identifiers
Medical identifiers for Elliot Rogers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699130278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Elliot Rogers allows following entities to bill medicare on his behalf.
| Entity Name | Behavioral Health Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477582609
PECOS PAC ID: 3072596360
Enrollment ID: O20040608001373 |
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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. Elliot Rogers 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 |
|---|
Elliot Rogers,
110 Boston St,
Salem, MA 01970-1402
Ph: () - | Elliot Rogers,
110 Boston St,
Salem, MA 01970-1402
Ph: (860) 416-4076 |
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