Edward C Elliott Iii, is a medicare enrolled "Orthopaedic Surgery - Foot And Ankle Surgery" provider in Decatur, Illinois. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Decatur Orthopedic Center Llc, Kirby Medical Center and his current practice location is
2 Memorial Dr Ste 305, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 876-4830.
Edward C Elliott Iii is licensed to practice in Oregon (license number DP220790) 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 1083957088.
Healthcare Provider's Profile
Full Name | Edward C Elliott Iii |
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Gender | Male |
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Speciality | Podiatry |
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Experience | 11 Years |
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Location | 2 Memorial Dr Ste 305, Decatur, Illinois |
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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:
- Edward C Elliott Iii graduated from medical school in 2013
NPI Data:
- NPI Number: 1083957088
- Provider Enumeration Date: 03/28/2013
- Last Update Date: 09/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345484606
- Enrollment ID: I20160928000262
Medical Identifiers
Medical identifiers for Edward C Elliott Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083957088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 016-005738 (Illinois) | Secondary |
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | DP220790 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Decatur Orthopedic Center Llc | 4981844289 | 8 |
Kirby Medical Center | 6901791144 | 53 |
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. Edward C Elliott Iii allows following entities to bill medicare on his behalf.
Provider Name | Kirby Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1386635373 PECOS PAC ID: 6901791144 Enrollment ID: O20050801000320 |
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Provider Name | Decatur Orthopedic Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1336586114 PECOS PAC ID: 4981844289 Enrollment ID: O20130710000446 |
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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. Edward C 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 |
Edward C Elliott Iii, 2 Memorial Dr Ste 305, Decatur, IL 62526-3999 Ph: (217) 876-4830 | Edward C Elliott Iii, 2 Memorial Dr Ste 305, Decatur, IL 62526-3999 Ph: (217) 876-4830 |
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