Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508825605 Individual Practitioner Male Practitioner

Dr. Eric M Elliot , DMSC, PA-C

Physician Assistant • Oconomowoc, WI

Professional Overview & Biography Verified Profile Summary

Dr. Eric Elliot, DMSC, PA-C is a registered healthcare professional specializing in Physician Assistant in Oconomowoc, WI. Practice services are available at 888 THACKERAY TRL STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

888 Thackeray Trl Ste 103

Oconomowoc, WI 530664342

Telephone 2623300062
Fax 2623300062
Associated Practice Facility / Clinic
🏢 Allegiance Medical, Inc. Facility NPI 1831862895

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Oconomowoc, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.1 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Oconomowoc, WI (3517 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License 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

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1023800100 (ME)
Medicaid State Provider 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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1134103641

Doctor of Medicine (M.D.)

NPI 1457311441

Doctor of Medicine (M.D.)

NPI 1710946132

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 03, 2025

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

📍
Updated Practice Location February 21, 2023

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

📍
Updated Business Mailing Address February 21, 2023

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

👤
Provider Name / Credentials Updated February 21, 2023

Recorded as ERIC ELLIOT, DMSC, PA-C

NPI Profile Active November 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2015

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

📍
Updated Business Mailing Address November 23, 2015

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

👤
Provider Name / Credentials Updated November 23, 2015

Recorded as ERIC ELLIOT, PA

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

Physician Assistant (License #PA850 in ME)

🟢
Initial NPI Registration & Enumeration March 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

200 W Summit Ave Ste 290

Wales, WI 531839427

Phone: 8447263926

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.