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Dr. Eric M Elliot , DMSC, PA-C

Physician Assistant β€’ Oconomowoc, WI

Active NPI 1508825605 Individual Practitioner Male Practitioner
Practice location in NPPES

888 Thackeray Trl Ste 103
Oconomowoc, WI 530664342

Call 2623300062 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

888 Thackeray Trl Ste 103

Oconomowoc, WI 530664342

Telephone 2623300062
Fax 2623300062
Organization at the Same NPPES Address or Phone
Allegiance Medical, Inc. Facility NPI 1831862895

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Boston, MA; Wales, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Oconomowoc and Wisconsin

16 active clinicians are listed under Physician Assistant with a practice address in Oconomowoc, WI (3,519 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Oconomowoc

6.2% of these 16 clinicians have the CMS telehealth indicator.

43.8% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WI 3443-23

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES ME PA850

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1023800100 (ME)
Medicaid ID
154420000 (ME)

Secondary Practice Locations

150 S Huntington Ave, Va Boston Healthcare System (C&p/11)

Boston, MA 021304817

Phone: 8573645569

200 W Summit Ave Ste 290

Wales, WI 531839427

Phone: 8447263926

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1134103641

Doctor of Medicine (M.D.)

NPI 1710946132

Doctor of Medicine (M.D.)

NPI 1457311441

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location March 03, 2025

Registered at 888 THACKERAY TRL STE 103, OCONOMOWOC, WI 530664342 (Tel: 2623300062)

🏒
Secondary Practice Location Registered March 03, 2025

Additional practice office at 150 S Huntington Ave, VA BOSTON HEALTHCARE SYSTEM (C&P/11), Boston, MA 021304817

🏒
Secondary Practice Location Registered March 03, 2025

Additional practice office at 200 W Summit Ave Ste 290, Wales, WI 531839427

πŸ“
Updated Practice Location February 21, 2023

Registered at 200 W SUMMIT AVE STE 290, WALES, WI 531839427 (Tel: 8447263926)

πŸ“
Updated Business Mailing Address February 21, 2023

Registered at 200 W SUMMIT AVE STE 290, WALES, WI 531839427 (Tel: 8447263926)

πŸ‘€
Provider Name / Credentials Updated February 21, 2023

Recorded as ERIC ELLIOT, DMSC, PA-C

βœ…
NPI Profile Active November 23, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 23, 2015

Registered at 150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM (C&P/11), BOSTON, MA 021304817 (Tel: 8573645569)

πŸ“
Business Mailing Address (Initial Record) November 23, 2015

Registered at 150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM (C&P/11), BOSTON, MA 021304817 (Tel: 8573645569)

πŸ‘€
Provider Name / Credentials (Initial Record) November 23, 2015

Recorded as ERIC ELLIOT, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2015

Physician Assistant (license number reported to NPPES: ME PA850)

🟒
Initial NPI Registration & Enumeration March 20, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508825605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2006
Last Update: March 03, 2025
Sole Proprietor: No

Other Physician Assistants in Oconomowoc

All Physician Assistants in Oconomowoc

Mailing Address

200 W Summit Ave Ste 290

Wales, WI 531839427

Phone: 8447263926

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.