BILLY MERRILL ELLIOTT III
NPI 1790243293
Physician Assistant - Medical in Jacksonville, FL

NPI Status: Active since March 04, 2019

Contact Information

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 702-6089

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  • Individual
  • Male
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • PECOS Enrolled

About BILLY ELLIOTT

This page provides the complete NPI Profile along with additional information for Billy Elliott, a primary care provider established in Jacksonville, Florida with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1790243293 assigned on March 2019. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1790243293
Provider Name
BILLY MERRILL ELLIOTT III
Gender
Male
Entity Type
Individual
Location Address
3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216
Location Phone
(904) 702-6089
Mailing Address
11692 TANAGER DR JACKSONVILLE, FL 32225
Mailing Phone
(904) 654-8294
Is Sole Proprietor?
No
Enumeration Date
03-04-2019
Last Update Date
09-29-2021
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A primary care provider (PCP) like Billy Elliott sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License State
FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1146L00000XEmergency Medical Service Providers

Emergency Medical Technician, Paramedic

525082 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with AdventHealth - HMO
  • Gold Elite Saver Plus | with AdventHealth - HMO
  • Gold Simple - HMO
  • Gold Simple | with AdventHealth - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with AdventHealth - HMO
  • Silver Elite - HMO
  • Silver Elite | with AdventHealth - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | MercyOne - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO
  • Bronze Simple Chronic Care CKM | MercyOne - EPO
  • Bronze Simple Diabetes | MercyOne - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | MercyOne - EPO
  • Gold Elite - EPO
  • Gold Elite | MercyOne - EPO
  • Secure - EPO
  • Secure | MercyOne - EPO
  • Silver Classic - EPO
  • Silver Classic | MercyOne - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | MercyOne - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Billy Elliott is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 19 times for 19 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 12 times for 12 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 13 times for 13 patients

Reviews for BILLY MERRILL ELLIOTT III

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790243293, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 4 + 4 + 6 + 2 + 1 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1790243293.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Emergency Medicine
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Emergency Medicine
3625 UNIVERSITY BLVD S, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32216
Emergency Medicine (Emergency Medical Services)
3625 UNIVERSITY BLVD S, EMERGENCY DEPT
JACKSONVILLE, FL 32216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790243293, enumerated as an "individual" on March 04, 2019.

The provider is located at 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 and the phone number is (904) 702-6089.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Oscar Health Maintenance Organization of Florida. Please consult your insurance carrier or call the provider to verify.