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Kelcey Dawn Elsass

Radiology

Allopathic & Osteopathic Physicians

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

PECOS Enrollment

This provider is enrolled in PECOS as KELCEY ELSASS.

Based on the most recent information from CMS, provider Kelcey Dawn Elsass 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 6 days ago.

Profile Details

Provider ID
1083699508
Provider Type
Individual
Full Name
Elsass, Kelcey Dawn
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
12/7/2005
Last Updated
12/4/2024

Contact Information

Practice Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1301

(612) 294-4903

Mailing Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1301

(612) 294-4903

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License DR-45056 Colorado
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License MD022444 Louisiana

Kelcey Dawn Elsass

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

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Code

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