Heather H Elledge, PA-C is a medicare enrolled "Physician Assistant" physician in Arroyo Grande, California. Her current practice location is
1154 E Grand Ave, Arroyo Grande, California. You can reach out to her office (for appointments etc.) via phone at
(805) 395-3277.
Heather H Elledge is licensed to practice in California (license number PA23119) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689006819.
Physician's Profile
Full Name | Heather H Elledge |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1154 E Grand Ave, Arroyo Grande, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689006819
- Provider Enumeration Date: 07/30/2013
- Last Update Date: 06/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224354337
- Enrollment ID: I20150309001822
Medical Identifiers
Medical identifiers for Heather H Elledge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689006819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | PA23119 (California) | Secondary |
363A00000X | Physician Assistant | PA23119 (California) | 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. Heather H Elledge 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 |
Heather H Elledge, PA-C 1154 E Grand Ave, Arroyo Grande, CA 93420-2583 Ph: (248) 225-4408 | Heather H Elledge, PA-C 1154 E Grand Ave, Arroyo Grande, CA 93420-2583 Ph: (805) 395-3277 |
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