Elizabeth Luketich, PA is a
Physician Assistant - Surgical physician based in Greenwich, Connecticut. Elizabeth Luketich is licensed to practice in Connecticut (license number 4341) and her current practice location is 6 Greenwich Office Park, Greenwich, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 869-1145.
NPI number for Elizabeth Luketich is 1174092837 and her current mailing address is 6 Greenwich Office Park, Greenwich, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174092837.
Physician's Profile
| Full Name | Elizabeth Luketich |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Surgical |
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| Location | 6 Greenwich Office Park, Greenwich, Connecticut |
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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: 1174092837
- Provider Enumeration Date: 11/24/2018
- Last Update Date: 08/21/2019
Medical Identifiers
Medical identifiers for Elizabeth Luketich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174092837 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 25MP00500000 (New Jersey) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 4341 (Connecticut) | 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. Elizabeth Luketich 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 |
|---|
Elizabeth Luketich, PA
6 Greenwich Office Park,
Greenwich, CT 06831-5151
Ph: (203) 869-1145 | Elizabeth Luketich, PA
6 Greenwich Office Park,
Greenwich, CT 06831-5151
Ph: (203) 869-1145 |
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