Elise Scoggin, DO is a medicare enrolled "Dermatology" physician in Quincy, Illinois. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Blessing Hospital and her current practice location is
1132 Broadway St, Quincy, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 214-6250.
Elise Scoggin is licensed to practice in Illinois (license number 036146947) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023420361.
Physician's Profile
| Full Name | Elise Scoggin |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 11 Years |
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| Location | 1132 Broadway St, Quincy, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Elise Scoggin attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2013
NPI Data:
- NPI Number: 1023420361
- Provider Enumeration Date: 05/21/2014
- Last Update Date: 07/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052537313
- Enrollment ID: I20180821003499
Medical Identifiers
Medical identifiers for Elise Scoggin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023420361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 036146947 (Illinois) | Primary |
| 207N00000X | Dermatology | OT015672 (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Blessing Hospital | 3072422534 | 349 |
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. Elise Scoggin allows following entities to bill medicare on her behalf.
| Entity Name | Blessing Corporate Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851311641
PECOS PAC ID: 5991616138
Enrollment ID: O20050222000479 |
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| Entity Name | Blessing Hospital |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1114471737
PECOS PAC ID: 3072422534
Enrollment ID: O20161005001836 |
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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. Elise Scoggin 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 |
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Elise Scoggin, DO
1005 Broadway St,
Quincy, IL 62301-2834
Ph: (217) 223-1200 | Elise Scoggin, DO
1132 Broadway St,
Quincy, IL 62301-2819
Ph: (217) 214-6250 |
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