Amelia Luckow, PA-C is a medicare enrolled "Physician Assistant" physician in San Diego, California. Her current practice location is
6719 Alvarado Rd Ste 308, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 265-7912.
Amelia Luckow is licensed to practice in California (license number PA64295) 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 1063256360.
Physician's Profile
Full Name | Amelia Luckow |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 6719 Alvarado Rd Ste 308, San Diego, California |
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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: 1063256360
- Provider Enumeration Date: 06/21/2024
- Last Update Date: 06/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577099597
- Enrollment ID: I20241213000002
Medical Identifiers
Medical identifiers for Amelia Luckow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063256360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | PA64295 (California) | Secondary |
363A00000X | Physician Assistant | PA64295 (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. Amelia Luckow 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 |
Amelia Luckow, PA-C 6719 Alvarado Rd Ste 308, San Diego, CA 92120-5268 Ph: () - | Amelia Luckow, PA-C 6719 Alvarado Rd Ste 308, San Diego, CA 92120-5268 Ph: (619) 265-7912 |
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