Individual provider Active NPI

Elizabeth Pollock, MD

  • Family Medicine Physician
  • Bastrop, TX
National Provider Identifier
1033665344
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S3044 Issued in TX
Practice address
630 Highway 71 W Ste E
Bastrop, TX 78602-4234
Phone
(512) 304-0313
Fax
(512) 304-0326
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S3044 TX Primary

Addresses

Primary practice location

630 Highway 71 W Ste E
Bastrop, TX 78602-4234

Mailing address

630 Highway 71 W Ste E
Bastrop, TX 78602-4234
Phone (512) 304-0313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820000427 TX Practitioner - Family Practice 7214202571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension SetonGroup PAC ID 5193634293, 54 clinicians

Practice addresses (Care Compare)

630 Hwy 71 W
Suite E
Bastrop, TX 78602-4234
Phone (512) 304-0313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton Family Medicine CurrentSince Jul 19, 2021 Accepting new patients
Ascension Seton CurrentSince Jul 19, 2021 Accepting new patients

Locations

630 W State Highway 71
Ste E
Bastrop, TX 78602
Phone (512) 304-0313

130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000

130 Hays St
Luling, TX 78648
Phone (830) 875-7000

Interoperability endpoints

  • Direct secure messaging: elizabeth.pollock.1@8363.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1033665344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 HIGHWAY 71 W STE E",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024234",
            "telephone_number": "512-304-0313",
            "fax_number": "512-304-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 HIGHWAY 71 W STE E",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024234",
            "telephone_number": "512-304-0313",
            "fax_number": "512-304-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2024-01-30",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.