Antonia Gaviria Rozo, PA-C in Washington, DC - Medicare Physician Assistant

Antonia Gaviria Rozo, PA-C is a medicare enrolled "Physician Assistant" in Washington, District Of Columbia. Her current practice location is 111 Michigan Ave Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 476-5203.

Antonia Gaviria Rozo 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 1255010104.

Contact Information

	Antonia Gaviria Rozo, PA-C
	111 Michigan Ave Nw, Washington, DC 20010-2916
	(202) 476-5203
	Not Available

Provider's Profile

Full Name	Antonia Gaviria Rozo
Gender	Female
Speciality	Physician Assistant
Location	111 Michigan Ave Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255010104
Provider Enumeration Date: 07/17/2023
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 1456707611
Enrollment ID: I20231024001930

Medical Identifiers

Medical identifiers for Antonia Gaviria Rozo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255010104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (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. Antonia Gaviria Rozo 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
Antonia Gaviria Rozo, PA-C 111 Michigan Ave Nw, Washington, DC 20010-2916 Ph: (202) 476-5203	Antonia Gaviria Rozo, PA-C 111 Michigan Ave Nw, Washington, DC 20010-2916 Ph: (202) 476-5203

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Antonia Gaviria Rozo, PA-C - Medicare Physician Assistant in Washington, DC