Jasmine Alexandria Holloway, in Los Angeles, CA

Jasmine Alexandria Holloway, is a medicare enrolled "Physician Assistant" in Los Angeles, California. Her current practice location is 1731 E 120th St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 563-4800.

Jasmine Alexandria Holloway 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 1023723384.

Contact Information

	Jasmine Alexandria Holloway,
	1731 E 120th St, Los Angeles, CA 90059-3051
	(323) 563-4800
	Not Available

Map and Direction

Provider's Profile

Full Name	Jasmine Alexandria Holloway
Gender	Female
Speciality	Physician Assistant
Location	1731 E 120th St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023723384
Provider Enumeration Date: 01/20/2023
Last Update Date: 01/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4688013394
Enrollment ID: I20240415001495

Medical Identifiers

Medical identifiers for Jasmine Alexandria Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023723384	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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. Jasmine Alexandria Holloway 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
Jasmine Alexandria Holloway, 1731 E 120th St, Attn: Pa Program Charles Drew University, Los Angeles, CA 90059 Ph: (323) 563-4800	Jasmine Alexandria Holloway, 1731 E 120th St, Los Angeles, CA 90059-3051 Ph: (323) 563-4800

Reviews and Comments

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Jasmine Alexandria Holloway, - Medicare Physician Assistant in Los Angeles, CA