Elijah Connell, in Washington, DC - Medicare Physician Assistant

Elijah Connell, is a medicare enrolled "Physician Assistant" in Washington, District Of Columbia. His current practice location is 5215 Loughboro Rd Nw Ste 200, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 787-5601.

Elijah Connell is licensed to practice in * (Not Available) (license number ) 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 1245019801.

Contact Information

	Elijah Connell,
	5215 Loughboro Rd Nw Ste 200, Washington, DC 20016-2625
	(202) 787-5601
	Not Available

Provider's Profile

Full Name	Elijah Connell
Gender	Male
Speciality	Physician Assistant
Location	5215 Loughboro Rd Nw Ste 200, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245019801
Provider Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 3577914373
Enrollment ID: I20240105001881

Medical Identifiers

Medical identifiers for Elijah Connell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245019801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (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. Elijah Connell 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
Elijah Connell, 2634 Calvary Rd, Bel Air, MD 21015-6616 Ph: (443) 617-1575	Elijah Connell, 5215 Loughboro Rd Nw Ste 200, Washington, DC 20016-2625 Ph: (202) 787-5601

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Elijah Connell, - Medicare Physician Assistant in Washington, DC