Elaine Roland Phillips, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Santa Cruz, California. Her current practice location is
1555 Soquel Dr, Santa Cruz, California. You can reach out to her office (for appointments etc.) via phone at
(831) 462-7700.
Elaine Roland Phillips 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 1083461164.
Physician's Profile
Full Name | Elaine Roland Phillips |
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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 | 1555 Soquel Dr, Santa Cruz, 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: 1083461164
- Provider Enumeration Date: 05/06/2024
- Last Update Date: 05/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103335591
- Enrollment ID: I20250605002284
Medical Identifiers
Medical identifiers for Elaine Roland Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083461164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 14582 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Elaine Roland Phillips 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 |
Elaine Roland Phillips, MD 1411 E 31st St Fl 2, Oakland, CA 94602-1018 Ph: (510) 437-4401 | Elaine Roland Phillips, MD 1555 Soquel Dr, Santa Cruz, CA 95065-1705 Ph: (831) 462-7700 |
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