Elaine Roland Phillips, MD is a
Student In An Organized Health Care Education/training Program physician based in Santa Cruz, California. Elaine Roland Phillips is licensed to practice in * (Not Available) (license number ) and her current practice location is 1555 Soquel Dr, Santa Cruz, California. She can be reached at her office (for appointments etc.) via phone at
(831) 462-7700.
NPI number for Elaine Roland Phillips is 1083461164 and her current mailing address is 1411 E 31st St Fl 2, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083461164.
Physician's Profile
| Full Name | Elaine Roland Phillips |
|---|
| 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 | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083461164
- Provider Enumeration Date: 05/06/2024
- Last Update Date: 05/07/2025
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
NOT enrolled with medicare and thus cannot 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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