Trisha Sofia Galicia Emborgo, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Erie, Pennsylvania. Her current practice location is
1858 W Grandview Blvd, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(936) 553-2532.
Trisha Sofia Galicia Emborgo is licensed to practice in Pennsylvania (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 1578198115.
Physician's Profile
| Full Name | Trisha Sofia Galicia Emborgo |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1858 W Grandview Blvd, Erie, Pennsylvania |
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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: 1578198115
- Provider Enumeration Date: 03/04/2020
- Last Update Date: 01/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911449566
- Enrollment ID: I20240611000905
Medical Identifiers
Medical identifiers for Trisha Sofia Galicia Emborgo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578198115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | V5525 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Pennsylvania) | 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. Trisha Sofia Galicia Emborgo allows following entities to bill medicare on her behalf.
| Entity Name | Duke Health Integrated Practice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205553369
PECOS PAC ID: 8325412737
Enrollment ID: O20230327002247 |
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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. Trisha Sofia Galicia Emborgo 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 |
|---|
Trisha Sofia Galicia Emborgo,
190 Beach 69th St Apt 2a,
Arverne, NY 11692-1369
Ph: (936) 553-2532 | Trisha Sofia Galicia Emborgo,
1858 W Grandview Blvd,
Erie, PA 16509-1025
Ph: (936) 553-2532 |
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