Emily Elizondo, is a medicare enrolled "Physical Medicine & Rehabilitation" in Dallas, Texas. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Of Texas Southwestern Medical Center At Dallas and her current practice location is
5323 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 645-2080.
Emily Elizondo is licensed to practice in Texas (license number PA18119) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073246377.
Provider's Profile
| Full Name | Emily Elizondo |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 5323 Harry Hines Blvd, Dallas, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Emily Elizondo graduated from nursing school in 2024
NPI Data:
- NPI Number: 1073246377
- Provider Enumeration Date: 07/05/2022
- Last Update Date: 10/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 6709300791
- Enrollment ID: I20250411001457
Medical Identifiers
Medical identifiers for Emily Elizondo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073246377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA18119 (Texas) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | PA18119 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Of Texas Southwestern Medical Center At Dallas | 0648188250 | 2784 |
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. Emily Elizondo 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 |
|---|
Emily Elizondo,
Po Box 845347,
Dallas, TX 75284-5347
Ph: (214) 645-2080 | Emily Elizondo,
5323 Harry Hines Blvd,
Dallas, TX 75390-2212
Ph: (214) 645-2080 |
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