Amelia Luckow, PA-C is a
Physician Assistant physician based in San Diego, California. Amelia Luckow is licensed to practice in California (license number PA64295) and her current practice location is 6719 Alvarado Rd Ste 308, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 265-7912.
NPI number for Amelia Luckow is 1063256360 and her current mailing address is 6719 Alvarado Rd Ste 308, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063256360.
Physician's Profile
| Full Name | Amelia Luckow |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 6719 Alvarado Rd Ste 308, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063256360
- Provider Enumeration Date: 06/21/2024
- Last Update Date: 06/21/2024
Medical Identifiers
Medical identifiers for Amelia Luckow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063256360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | PA64295 (California) | Secondary |
| 363A00000X | Physician Assistant | PA64295 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amelia Luckow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amelia Luckow, PA-C
6719 Alvarado Rd Ste 308,
San Diego, CA 92120-5268
Ph: () - | Amelia Luckow, PA-C
6719 Alvarado Rd Ste 308,
San Diego, CA 92120-5268
Ph: (619) 265-7912 |
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