Elliot Daniel Backer, PA-C is a medicare enrolled "Physician Assistant" physician in Richfield, Minnesota. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1689104986
- Provider Enumeration Date: 06/19/2017
- Last Update Date: 03/01/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
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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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