Emma Rose Holbrook, is a medicare enrolled "Physician Assistant" physician in La Mesa, California. Her current practice location is
5555 Grossmont Center Dr, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at
(619) 740-4800.
Emma Rose Holbrook is licensed to practice in * (Not Available) (license number ) 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 1255087102.
Physician's Profile
| Full Name | Emma Rose Holbrook |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 5555 Grossmont Center Dr, La Mesa, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255087102
- Provider Enumeration Date: 03/01/2022
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032592795
- Enrollment ID: I20220814000050
Medical Identifiers
Medical identifiers for Emma Rose Holbrook such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255087102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 9216 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | PA62629 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Emma Rose 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 |
|---|
Emma Rose Holbrook,
1625 N Campbell Ave,
Tucson, AZ 85719-4330
Ph: (715) 305-3156 | Emma Rose Holbrook,
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019
Ph: (619) 740-4800 |
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