Jerrold Paul Elliott Iii, PA-C in Guerneville, CA

Jerrold Paul Elliott Iii, PA-C is a medicare enrolled "Physician Assistant - Medical" in Guerneville, California. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Providence Medical Foundation and his current practice location is 16319 Third Street, Guerneville, California. You can reach out to his office (for appointments etc.) via phone at (707) 869-5977.

Jerrold Paul Elliott Iii is licensed to practice in California (license number PA20527) 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 1982854618.

Contact Information

	Jerrold Paul Elliott Iii, PA-C
	16319 Third Street, Guerneville, CA 95446
	(707) 869-5977
	(707) 869-5983

Map and Direction

Provider's Profile

Full Name	Jerrold Paul Elliott Iii
Gender	Male
Speciality	Physician Assistant
Experience	16 Years
Location	16319 Third Street, Guerneville, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jerrold Paul Elliott Iii graduated from nursing school in 2008

NPI Data:

NPI Number: 1982854618
Provider Enumeration Date: 09/30/2008
Last Update Date: 01/25/2021

Medicare PECOS Information:

PECOS PAC ID: 9830251263
Enrollment ID: I20160604000075

Medical Identifiers

Medical identifiers for Jerrold Paul Elliott Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982854618	NPI	-	NPPES
1356344758	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2666 (Colorado)	Secondary
363AM0700X	Physician Assistant - Medical	PA20527 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Jerrold Paul Elliott Iii 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
Jerrold Paul Elliott Iii, PA-C Po Box 1449, Guerneville, CA 95446-1449 Ph: (707) 869-5977	Jerrold Paul Elliott Iii, PA-C 16319 Third Street, Guerneville, CA 95446 Ph: (707) 869-5977

Reviews and Comments

Physician Assistant Nurses in Guerneville, CA

Aimee Laurenne Greenfield, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14045 Mill St, Guerneville, CA 95446 Phone: 707-869-5977 Fax: 707-869-5983
Jude Fox, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16319 Third Street, Guerneville, CA 95446 Phone: 707-869-5977 Fax: 707-869-5976

Jerrold Paul Elliott Iii, PA-C - Medicare Physician Assistant in Guerneville, CA