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

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



Healthcare Provider's Profile

Full NameDr Jacob J Elliott
GenderMale
SpecialityClinical Psychologist
Experience60 Years
Location5600 Monroe St, Sylvania, Ohio
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1629065701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 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 NameElliott & Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710974035
PECOS PAC ID: 5496788200
Enrollment ID: O20050913000627

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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. 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 AddressPractice 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

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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

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