Katharina E Elliott

Pediatric Hematology-Oncology | Female

---

Complete Profile:

Katharina E Elliott basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Katharina E Elliott
Gender :	Female

Business Address:

Katharina E Elliott address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	601 John St, Suite M005 Kalamazoo, MI, 49007-5341 United States
Phone Number :	269-341-6350
Fax Number :	269-341-8580

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1710956347
NPI Entity Type :	Individual
First Enrolment Date :	16 Mar, 2006
Last Updated On :	06 Oct, 2020

Medicare Participation:

Katharina E Elliott participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0749245892
Medicare Enrollment ID :	I20041130000858
Primary Specialty :	Hematology/oncology
Medical School :	New York Medical College
Graduation Year :	1992
Accepts Medicare?	Yes. Katharina E Elliott accepts medicare insurance.

Group Practice Association:

Katharina E Elliott is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Katharina E Elliott is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Bronson Methodist Hospital	0244148633	576	601 John St Suite 005 Kalamazoo, MI - 490075381 Ph: 2693416350	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katharina E Elliott are as mentioned. Primary taxonomy code for Katharina E Elliott is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	4301072976	MI

Legacy Identifiers:

Other legacy medical identifiers of Katharina E Elliott such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
1710956347	MEDICAID	MI
3503904111	Other		BCBS
1417961137	Other	MI	BCBSM - BRONSON
4186840	MEDICAID	MI

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	601 John St, Suite M005 Kalamazoo, MI, 49007-5341 United States
Phone Number :	269-341-6350
Fax Number :	269-341-8580

Business Location:

Patients can refer following map for directions to Katharina E Elliott practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.