Mr Brian Edward Elliott, OD is a medicare enrolled "Optometrist" provider in Riverbank, California. He went to University Of California - School Of Optometry and graduated in 1990 and has 34 years of diverse experience with area of expertise as Optometry. His current practice location is
6331 Jackson Ave, Riverbank, California. You can reach out to his office (for appointments etc.) via phone at
(209) 869-3300.
Mr Brian Edward Elliott is licensed to practice in California (license number 9440T) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1760566434.
Healthcare Provider's Profile
| Full Name | Mr Brian Edward Elliott |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 34 Years |
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| Location | 6331 Jackson Ave, Riverbank, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Brian Edward Elliott attended and graduated from University Of California - School Of Optometry in 1990
NPI Data:
- NPI Number: 1760566434
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 09/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 2961391545
- Enrollment ID: I20040311001467
Medical Identifiers
Medical identifiers for Mr Brian Edward Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760566434 | NPI | - | NPPES |
| SD0094401 | Medicaid | CA | |
| 0723780001 | Other | CA | MEDICARE DME PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 9440T (California) | 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. Mr Brian Edward Elliott allows following entities to bill medicare on his behalf.
| Provider Name | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1760558498
PECOS PAC ID: 0547309312
Enrollment ID: O20091208000443 |
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| Provider Name | Modesto Optometric Vision Center Inc A Professional Optometric Corp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1891415410
PECOS PAC ID: 4284009093
Enrollment ID: O20230410001463 |
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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. Mr Brian Edward 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 |
|---|
Mr Brian Edward Elliott, OD
6331 Jackson Ave,
Riverbank, CA 95367-2733
Ph: (209) 869-3300 | Mr Brian Edward Elliott, OD
6331 Jackson Ave,
Riverbank, CA 95367
Ph: (209) 869-3300 |
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