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Elliot Edward Cain

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669

PECOS Enrollment

This provider is enrolled in PECOS as ELLIOT CAIN.

Based on the most recent information from CMS, provider Elliot Edward Cain is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1962879551
Provider Type
Individual
Full Name
Cain, Elliot Edward
Title
Mr.
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
8/31/2015
Last Updated
11/29/2021

Contact Information

Practice Location

2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669

(414) 649-3780

Unlisted Fax

Mailing Location

3301 W Forest Home Ave, Milwaukee, WI 53215-2843

(414) 389-2377

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 3653-23 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 100047807	Description Medicaid	Issuer Unlisted Wisconsin

Elliot Edward Cain

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Keepers, Jacob Finer

Koth, Amanda J

Hale, Jacqueline N

Fehrenbacher, Timothy Allen

Affeldt, Megan A

Crawford, Ashley Shafawnne

Fox, Siena

Nguyen-Hoye, Mongtuyen

Gonzalez, Kate L

Virk, Effett S