Dr Elissa Jp Foster, DO - Medicare Student in an Organized Health Care Education/Training Program in Dallas, TX

Dr Elissa Jp Foster, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dallas, Texas. Her current practice location is 3500 Gaston Ave, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 820-2361.

Dr Elissa Jp Foster is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356803530.

Contact Information

Dr Elissa Jp Foster, DO
3500 Gaston Ave,
Dallas, TX 75246-2017
(214) 820-2361
Not Available



Physician's Profile

Full NameDr Elissa Jp Foster
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location3500 Gaston Ave, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356803530
  • Provider Enumeration Date: 04/05/2019
  • Last Update Date: 02/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446639272
  • Enrollment ID: I20220623003448

Medical Identifiers

Medical identifiers for Dr Elissa Jp Foster such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356803530NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology BP10079747 (Texas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

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 Elissa Jp Foster 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 AddressPractice Location Address
Dr Elissa Jp Foster, DO
3500 Gaston Ave,
Dallas, TX 75246-2017

Ph: () -
Dr Elissa Jp Foster, DO
3500 Gaston Ave,
Dallas, TX 75246-2017

Ph: (214) 820-2361

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