| Scott R. Elkin, Do, Pa | |
|
1510 W 34th St Ste 205 Austin TX 78703-1494 | |
| (512) 306-0061 | |
| (512) 306-0069 |
| Full Name | Scott R. Elkin, Do, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1510 W 34th St Ste 205, Austin, Texas |
| Authorized Official Name and Position | Scott R. Elkin (CEO / PRESIDENT) |
| Authorized Official Contact | 5123060061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott R. Elkin, Do, Pa Po Box 4595 Austin TX 78765-4595 Ph: (512) 306-0061 | Scott R. Elkin, Do, Pa 1510 W 34th St Ste 205 Austin TX 78703-1494 Ph: (512) 306-0061 |
| NPI Number | 1487663274 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 05/11/2009 |
| Medicare PECOS PAC ID | 2365507779 |
|---|---|
| Medicare Enrollment ID | O20090219000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487663274 | NPI | - | NPPES |
| 0A3207 | Other | TX | MEDICARE PTAN |
| 1487663274 | Other | TX | NPI |
| 1487663274 | Other | TX | BCBS NPI - GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G1644 (Texas) | Primary |
| Provider Name | Scott R Elkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265433080 PECOS PAC ID: 6103839923 Enrollment ID: I20060721000218 |
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