Elliot Daniel Backer, PA-C is a medicare enrolled "Physician Assistant" physician in Richfield, Minnesota. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice United Skin Specialists Ltd and his current practice location is
6425 Nicollet Ave Ste 202, Richfield, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 869-2086.
Elliot Daniel Backer is licensed to practice in Minnesota (license number 12466) 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 1689104986.
Physician's Profile
| Full Name | Elliot Daniel Backer |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 6425 Nicollet Ave Ste 202, Richfield, Minnesota |
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| Accepts Medicare Assignments | Yes. He 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:
- Elliot Daniel Backer graduated from medical school in 2017
NPI Data:
- NPI Number: 1689104986
- Provider Enumeration Date: 06/19/2017
- Last Update Date: 03/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466726856
- Enrollment ID: I20170925000163
Medical Identifiers
Medical identifiers for Elliot Daniel Backer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689104986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 12466 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 12466 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| United Skin Specialists Ltd | 0446558993 | 10 |
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 Daniel Backer 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 Daniel Backer, PA-C
2 Carlson Pkwy N Ste 240,
Plymouth, MN 55447-4485
Ph: (763) 367-7110 | Elliot Daniel Backer, PA-C
6425 Nicollet Ave Ste 202,
Richfield, MN 55423-1668
Ph: (612) 869-2086 |
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