Emily Brooke Null, PA-C is a medicare enrolled "Physician Assistant" in Johnston City, Illinois. Her current practice location is
14410 Route 37, Johnston City, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 983-6911.
Emily Brooke Null is licensed to practice in Illinois (license number 085.009966) 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 1720861206.
Provider's Profile
Full Name | Emily Brooke Null |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 14410 Route 37, Johnston City, Illinois |
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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: 1720861206
- Provider Enumeration Date: 08/17/2023
- Last Update Date: 09/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072960087
- Enrollment ID: I20231114000567
Medical Identifiers
Medical identifiers for Emily Brooke Null such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720861206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085.009966 (Illinois) | 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. Emily Brooke Null 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 Brooke Null, PA-C Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-2401 | Emily Brooke Null, PA-C 14410 Route 37, Johnston City, IL 62951-3166 Ph: (618) 983-6911 |
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