Deborah Lois Elliott-Pearson, MD
Individual provider Active NPI Family Medicine Physician · Livingston, MT
NPI 1881616639 · NPPES record last updated Mar 12, 2014
Key facts
- NPI
- 1881616639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M7469 (ID)
- Practice address
- 504 S 13TH St
Livingston, MT 59047-3727 - Phone
- (406) 222-3541
- Fax
- (406) 823-6630
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200408000036 | TX | Practitioner - Family Practice |
6800959248 | Reassigns benefits to 1 organization |
| I20250624002184 | NE | Practitioner - Emergency Medicine | 6800959248 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7469 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Butte Indian Health Service Hospital | Current |
Accepting new patients | |
| Bryan Hospital Kearney | Family Medicine | Current |
Accepting new patients |
| Bryan Hospital Kearney | Current |
Accepting new patients |
Locations
816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263
804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M7469 | ID | Yes |
Addresses
Primary practice location
504 S 13TH St
Livingston, MT 59047-3727
Mailing address
504 S 13TH St
Livingston, MT 59047-3727
Phone (406) 823-6414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805230000 | Medicaid | ID | |
| 1881616639 | Medicaid | ID |
Other names
- Deborah Lois Elliott
Other providers in Livingston, MT
- Katherine S. Dunlap
- Verla Vester Dynneson
- Julia H. Eaton
- Leah M Egbers
- Ellen Morris, LLC
- Margaret Elliott
- Jessica C Emanuel
- Embodied Healing, LLC
- Kary J Engle
- Evergreen at Livingston, L.L.C.
All providers in Livingston, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.