Dr Leilani Holbrook, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Air Force Academy, Colorado. Her current practice location is
4201 Pinion Dr, Air Force Academy, Colorado. You can reach out to her office (for appointments etc.) via phone at
(812) 325-0238.
Dr Leilani Holbrook is licensed to practice in Colorado (license number DR.0069029) 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 1528565272.
Physician's Profile
Full Name | Dr Leilani Holbrook |
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Gender | Female |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 4201 Pinion Dr, Air Force Academy, Colorado |
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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: 1528565272
- Provider Enumeration Date: 04/10/2018
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274990106
- Enrollment ID: I20230607002309
Medical Identifiers
Medical identifiers for Dr Leilani Holbrook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528565272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | DR.0069029 (Colorado) | Primary |
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. Dr Leilani Holbrook allows following entities to bill medicare on her behalf.
Entity Name | Lutheran Hospital Association Of The San Luis Valley |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
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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. Dr Leilani 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 |
Dr Leilani Holbrook, MD 4201 Pinion Dr, Air Force Academy, CO 80840 Ph: (812) 325-0238 | Dr Leilani Holbrook, MD 4201 Pinion Dr, Air Force Academy, CO 80840 Ph: (812) 325-0238 |
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