Dr Craig Russell Elliott, MD in Mansfield Center, CT

Dr Craig Russell Elliott, MD is a medicare enrolled "Pediatrics" physician in Mansfield Center, Connecticut. His current practice location is 12a Ledgebrook Dr, Mansfield Center, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 423-2960.

Dr Craig Russell Elliott is licensed to practice in Connecticut (license number 030481) 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 1275581472.

Contact Information

	Dr Craig Russell Elliott, MD
	12a Ledgebrook Dr, Mansfield Center, CT 06250-1664
	(860) 423-2960
	(860) 423-3719

Map and Direction

Physician's Profile

Full Name	Dr Craig Russell Elliott
Gender	Male
Speciality	Pediatrics
Location	12a Ledgebrook Dr, Mansfield Center, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275581472
Provider Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5395979793
Enrollment ID: I20131017000693

Medical Identifiers

Medical identifiers for Dr Craig Russell Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275581472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	030481 (Connecticut)	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 Craig Russell Elliott allows following entities to bill medicare on his behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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 Craig Russell 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 Craig Russell Elliott, MD 12a Ledgebrook Dr, Mansfield Center, CT 06250-1664 Ph: (860) 423-2960	Dr Craig Russell Elliott, MD 12a Ledgebrook Dr, Mansfield Center, CT 06250-1664 Ph: (860) 423-2960

Reviews and Comments

Pediatrics Doctors in Mansfield Center, CT

Suzanne M Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719
Julie Mary Asare, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12 Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 608-423-2960
Dr. Ronald Wolz Kelly, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719
Dr. Anne Schwirck Willenborg, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719
Dr. Thomas Harrison Gorin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960 Fax: 860-423-3719

Dr Craig Russell Elliott, MD - Medicare Pediatrics in Mansfield Center, CT