Dr Bert Clair Eliason, MD in Gallup, NM - Medicare Family Medicine

Dr Bert Clair Eliason, MD is a medicare enrolled "Family Medicine" physician in Gallup, New Mexico. His current practice location is 516 E. Nizhoni Blvd., Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 722-1000.

Dr Bert Clair Eliason is licensed to practice in Illinois (license number 036099778) 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 1174513113.

Contact Information

	Dr Bert Clair Eliason, MD
	516 E. Nizhoni Blvd., Gallup, NM 87301-1337
	(505) 722-1000
	(505) 726-8740

Map and Direction

Physician's Profile

Full Name	Dr Bert Clair Eliason
Gender	Male
Speciality	Family Medicine
Location	516 E. Nizhoni Blvd., Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174513113
Provider Enumeration Date: 10/21/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0840205852
Enrollment ID: I20120406000083

Medical Identifiers

Medical identifiers for Dr Bert Clair Eliason such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174513113	NPI	-	NPPES
036099778	Other	IL	IL STATE LICENSE
336060100	Other	IL	IL STATE CTL SUB LICENSE
036099778	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036099778 (Illinois)	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 Bert Clair Eliason allows following entities to bill medicare on his behalf.

Entity Name	Dhhs Phs Naihs Shiprock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

Entity Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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 Bert Clair Eliason 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 Bert Clair Eliason, MD 4185 Leigh Lane, Alta, WY 83414 Ph: (801) 471-8894	Dr Bert Clair Eliason, MD 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 Ph: (505) 722-1000

Reviews and Comments

Family Medicine Doctors in Gallup, NM

Angela R Dorsey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Donald Joel Lewis-kraitsik, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740
Dr. Caroline Mogler, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Margot Albert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Aedra D. Andrade, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N 5th St, Gallup, NM 87301 Phone: 505-863-3120 Fax: 505-863-2691
Alma Julia Alford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740

Dr Bert Clair Eliason, MD - Medicare Family Medicine in Gallup, NM