Jerry G Elliott, NP-C in Richland, WA - Medicare Nurse Practitioner

Jerry G Elliott, NP-C is a medicare enrolled "Nurse Practitioner" in Richland, Washington. He graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Providence Health And Services Oregon and his current practice location is 888 Swift Blvd, Richland, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 946-9611.

Jerry G Elliott is licensed to practice in Washington (license number AP60240764) 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 1114152758.

Contact Information

	Jerry G Elliott, NP-C
	888 Swift Blvd, Richland, WA 99352
	(509) 946-9611
	(509) 942-2185

Map and Direction

Provider's Profile

Full Name	Jerry G Elliott
Gender	Male
Speciality	Nurse Practitioner
Experience	16 Years
Location	888 Swift Blvd, Richland, Washington
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:

Jerry G Elliott graduated from nursing school in 2009

NPI Data:

NPI Number: 1114152758
Provider Enumeration Date: 05/27/2009
Last Update Date: 11/08/2016

Medicare PECOS Information:

PECOS PAC ID: 8527235530
Enrollment ID: I20210927003295

Medical Identifiers

Medical identifiers for Jerry G Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114152758	NPI	-	NPPES
002803300	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	N-35393 (Idaho)	Secondary
363L00000X	Nurse Practitioner	NP-917A (Idaho)	Secondary
363L00000X	Nurse Practitioner	AP60240764 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jerry G Elliott allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Good Shepherd Health Care System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046

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. Jerry G Elliott 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
Jerry G Elliott, NP-C 560 Gage Blvd, Suite 203, Richland, WA 99352 Ph: (509) 942-3627	Jerry G Elliott, NP-C 888 Swift Blvd, Richland, WA 99352 Ph: (509) 946-9611

Reviews and Comments

Nurse Practitioner Nurses in Richland, WA

Tracy Candace W. Degenstein, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 Torbett St Ste 101, Richland, WA 99354 Phone: 509-427-1450 Fax: 509-427-1490
Kathryn S Brault, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Mansfield St Ste 4, Richland, WA 99352 Phone: 509-946-6124 Fax: 866-692-4493
Somrit Koy Tim, MD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Goethals Dr Ste E3, Richland, WA 99352 Phone: 509-942-2986 Fax: 509-942-3097
Ms. Anne Campbell Laucella, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2648
Ms. Jennifer Lee Barden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 George Washington Way, Richland, WA 99354 Phone: 888-227-3312 Fax: 509-622-2707
Christa Heidi Moore, ADN,BSN,MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2630 Fax: 509-942-2007
Antonette Lynn Harvill, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd., Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2887

Jerry G Elliott, NP-C - Medicare Nurse Practitioner in Richland, WA