Mrs Holly Diahn Prentice, PAC in Glendora, CA - Medicare Physician Assistant

Mrs Holly Diahn Prentice, PAC is a medicare enrolled "Physician Assistant - Medical" in Glendora, California. Her current practice location is 440 W Foothill Blvd, Glendora, California. You can reach out to her office (for appointments etc.) via phone at (626) 963-9402.

Mrs Holly Diahn Prentice is licensed to practice in California (license number 15115) 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 1588606404.

Contact Information

	Mrs Holly Diahn Prentice, PAC
	440 W Foothill Blvd, Glendora, CA 91741-3361
	(626) 963-9402
	(626) 914-5316

Map and Direction

Provider's Profile

Full Name	Mrs Holly Diahn Prentice
Gender	Female
Speciality	Physician Assistant - Medical
Location	440 W Foothill Blvd, Glendora, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588606404
Provider Enumeration Date: 06/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6800070004
Enrollment ID: I20110413000409

Medical Identifiers

Medical identifiers for Mrs Holly Diahn Prentice such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588606404	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	15115 (California)	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. Mrs Holly Diahn Prentice 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
Mrs Holly Diahn Prentice, PAC 440 W Foothill Blvd, Glendora, CA 91741-3361 Ph: (626) 963-9402	Mrs Holly Diahn Prentice, PAC 440 W Foothill Blvd, Glendora, CA 91741-3361 Ph: (626) 963-9402

Reviews and Comments

Physician Assistant Nurses in Glendora, CA

Ms. Mayra Hubbard, PA. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1377 S Grand Ave, Glendora, CA 91740 Phone: 626-483-3348 Fax: 626-623-7258
Tamara Lynn Trzcinski, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 2301 E Foothill Blvd, Suite 100, Glendora, CA 91740 Phone: 626-852-3376 Fax: 626-852-3375
Courtley Yan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2025 E Route 66, Glendora, CA 91740 Phone: 626-334-4610
Mrs. Ashlene Janiece Korcek, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2301 E Foothill Blvd, Suite 100, Glendora, CA 91740 Phone: 626-852-3376
Kelley Lu, Physician Assistant Medicare: Medicare Enrolled Practice Location: 645 N Wildwood Ave, Glendora, CA 91741 Phone: 626-321-5398
Miss Elizabeth Soria-palacios, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 S Grand Ave, Glendora, CA 91740 Phone: 626-857-2580
Mr. David Abovian, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1365 S Grand Ave, Glendora, CA 91740 Phone: 626-857-2580

Mrs Holly Diahn Prentice, PAC - Medicare Physician Assistant in Glendora, CA