Walter Hill Elliott Iv, is a medicare enrolled "Nurse Practitioner" in Spring Lake, New Jersey. His current practice location is
2 Royal Court Dr Apt C17, Spring Lake, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(843) 607-6992.
Walter Hill Elliott Iv is licensed to practice in New Jersey (license number 26NJ00903700) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316409857.
Provider's Profile
| Full Name | Walter Hill Elliott Iv |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 2 Royal Court Dr Apt C17, Spring Lake, New Jersey |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1316409857
- Provider Enumeration Date: 04/03/2019
- Last Update Date: 04/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 9133556830
- Enrollment ID: I20200218002813
Medical Identifiers
Medical identifiers for Walter Hill Elliott Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316409857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 26NJ00903700 (New Jersey) | Primary |
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. Walter Hill Elliott Iv allows following entities to bill medicare on his behalf.
| Entity Name | Garden State Neurology And Neuro-oncology, Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1821017260
PECOS PAC ID: 0840214474
Enrollment ID: O20060130000067 |
|---|
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. Walter Hill Elliott Iv 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 |
|---|
Walter Hill Elliott Iv,
2 Royal Court Dr Apt C17,
Spring Lake, NJ 07762-2338
Ph: (843) 607-6992 | Walter Hill Elliott Iv,
2 Royal Court Dr Apt C17,
Spring Lake, NJ 07762-2338
Ph: (843) 607-6992 |
Reviews and Comments