Elisa D Endicott, PA is a medicare enrolled "Dermatology" in Orlando, Florida. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mid-florida Dermatology Associates Pa and her current practice location is
801 N Orange Ave, Suite 520, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 992-0660.
Elisa D Endicott is licensed to practice in Florida (license number PA3672) 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 1558314963.
Provider's Profile
| Full Name | Elisa D Endicott |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 26 Years |
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| Location | 801 N Orange Ave, Orlando, Florida |
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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:
- Elisa D Endicott graduated from nursing school in 1998
NPI Data:
- NPI Number: 1558314963
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 02/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 5799701793
- Enrollment ID: I20051019000594
Medical Identifiers
Medical identifiers for Elisa D Endicott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558314963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA3672 (Florida) | Secondary |
| 207N00000X | Dermatology | PA3672 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mid-florida Dermatology Associates Pa | 1254233786 | 50 |
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. Elisa D Endicott 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 |
|---|
Elisa D Endicott, PA
801 N Orange Ave, Suite 520,
Orlando, FL 32801-1026
Ph: (407) 992-0660 | Elisa D Endicott, PA
801 N Orange Ave, Suite 520,
Orlando, FL 32801-1026
Ph: (407) 992-0660 |
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