Angela M Holbrook, MD is a medicare enrolled "Emergency Medicine" physician in Warrenton, Missouri. Her current practice location is
605 E Booneslick Rd, Warrenton, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 456-0188.
Angela M Holbrook is licensed to practice in Missouri (license number 103133) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790731545.
Physician's Profile
Full Name | Angela M Holbrook |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 605 E Booneslick Rd, Warrenton, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790731545
- Provider Enumeration Date: 05/25/2006
- Last Update Date: 01/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 9335185875
- Enrollment ID: I20050706000985
Medical Identifiers
Medical identifiers for Angela M Holbrook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790731545 | NPI | - | NPPES |
1790731545 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 103133 (Missouri) | Primary |
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 103133 (Missouri) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela M Holbrook allows following entities to bill medicare on her behalf.
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20150520001245 |
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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. Angela M Holbrook is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angela M Holbrook, MD 1836 Lackland Hill Pkwy, Attn: Credentialing, Saint Louis, MO 63146-3572 Ph: (314) 989-0300 | Angela M Holbrook, MD 605 E Booneslick Rd, Warrenton, MO 63383-2127 Ph: (636) 456-0188 |
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