Dr Jacob J Elliott, PHD in Sylvania, OH - Medicare Clinical Psychologist Provider

Dr Jacob J Elliott, PHD is a medicare enrolled "Psychologist" provider in Sylvania, Ohio. He graduated from medical school in 1964 and has 60 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 5600 Monroe St, Ste 201, Sylvania, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 885-1910.

Dr Jacob J Elliott is licensed to practice in Ohio (license number 260) 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 1629065701.

Contact Information

	Dr Jacob J Elliott, PHD
	5600 Monroe St, Ste 201, Sylvania, OH 43560-2731
	(419) 885-1910
	(419) 885-5060

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacob J Elliott
Gender	Male
Speciality	Clinical Psychologist
Experience	60 Years
Location	5600 Monroe St, Sylvania, Ohio
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:

Dr Jacob J Elliott graduated from medical school in 1964

NPI Data:

NPI Number: 1629065701
Provider Enumeration Date: 10/04/2005
Last Update Date: 12/20/2010

Medicare PECOS Information:

PECOS PAC ID: 6901839729
Enrollment ID: I20120412000240

Medical Identifiers

Medical identifiers for Dr Jacob J Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629065701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	260 (Ohio)	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. Dr Jacob J Elliott allows following entities to bill medicare on his behalf.

Entity Name	Elliott & Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710974035 PECOS PAC ID: 5496788200 Enrollment ID: O20050913000627

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. Dr Jacob J 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
Dr Jacob J Elliott, PHD 5600 Monroe St, Ste 201, Sylvania, OH 43560-2731 Ph: (419) 885-1910	Dr Jacob J Elliott, PHD 5600 Monroe St, Ste 201, Sylvania, OH 43560-2731 Ph: (419) 885-1910

Reviews and Comments

Psychologist in Sylvania, OH

Sarah Lynne Darrow, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7860 Saltwood Ct, Sylvania, OH 43560 Phone: 419-266-1237
Rachel Marie Nijakowski, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6832 Convent Blvd, Sylvania, OH 43560 Phone: 419-882-4529 Fax: 419-885-7612
Mrs. Wesley Holmes Konesky, M. ED, ED. S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5600 Monroe St Ste 103b, Sylvania, OH 43560 Phone: 419-885-5952 Fax: 419-885-7630
Dr. Marc Boyer Dielman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5600 Monroe St, Suite 103b, Sylvania, OH 43560 Phone: 419-885-5952 Fax: 419-885-7630
Sandra J Elliot, LPCC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5600 Monroe St, Ste 201, Sylvania, OH 43560 Phone: 419-885-1910 Fax: 419-885-5060
Dr. Audrey Erlene Ellenwood, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6400 Monroe St, Suite E, Sylvania, OH 43560 Phone: 419-885-4121
Jason Randall Dura, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8165 Kevin Ln, Sylvania, OH 43560 Phone: 419-885-2751 Fax: 419-824-0455

Dr Jacob J Elliott, PHD - Medicare Psychologist in Sylvania, OH