Elliot D Backer (NPI# 1689104986, PAC ID# 2466726856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1689104986 |
| PAC ID by PECOS | 2466726856 |
| Professional Enrollment ID | I20170925000163 |
| Full Name | Elliot D Backer |
| Organization Legal Name | MIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA |
| Address |
1510 24th Ave N Saint Cloud MN 56303-1304 |
| Phone Number | 3202590208 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4385640960 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240030 | DOUGLAS COUNTY HOSPITAL |
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| Address | Phone | Organization |
|---|---|---|
| 1510 24th Ave N, Saint Cloud, MN 56303-1304 | 3202590208 | MIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA |
| Organization Legal Name | MIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob S Tebbs | Physician Assistant | Midwest Clinic of Dermatology Laser and Cosmetic Surgery Pa | 1510 24th Ave N, Saint Cloud, MN 56303-1304 |
| Daniel K Elieff | Dermatology | Midwest Clinic of Dermatology Laser and Cosmetic Surgery Pa | 1510 24th Ave N, Saint Cloud, MN 56303-1304 |
| Street Address |
1510 24TH AVE N |
| City | SAINT CLOUD |
| State | MN |
| Zip | 56303-1304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob S Tebbs | Physician Assistant | Midwest Clinic of Dermatology Laser and Cosmetic Surgery Pa | 1510 24th Ave N, Saint Cloud, MN 56303-1304 |
| Daniel K Elieff | Dermatology | Midwest Clinic of Dermatology Laser and Cosmetic Surgery Pa | 1510 24th Ave N, Saint Cloud, MN 56303-1304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene J Beniek | Clinical Social Worker | 32104 Stearns County Rd, Suite 1, St Cloud, MN 56303 | |
| Troy A Payne | Sleep Medicine | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Troy A Scott | Family Medicine | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Keith J Leavell | Critical Care (intensivists) | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Piyush Das | General Practice | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Paul M Wenner | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Deborah A Scattarelli | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Cathy S Klick | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Barbara A Carver | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Judith L Huber | Psychologist, Clinical | Catholic Charities of The Diocese of St Cloud | 911 - 18th St N, Saint Cloud, MN 56303-1203 |
| Find all physicians in zip 56303 | |||
| City | SAINT CLOUD |
| Zip Code | 56303 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAINT CLOUD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Elliot D Backer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.