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AMELIA LUCKOW PA-C
NPI 1063256360
Physician Assistant in San Diego, CA

Active since June 21, 2024PECOS EnrolledAccepts Medicare Assignment
6719 ALVARADO RD STE 308, SAN DIEGO, CA 92120(619) 265-7912 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amelia Luckow Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMELIA LUCKOW PA-C (NPI 1063256360) is an individual physician assistant in San Diego, California, licensed in California (PA64295) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063256360
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMELIA LUCKOWCredential: PA-C
Location Address6719 ALVARADO RD STE 308San Diego, CA 92120-5268
Mailing Address6719 Alvarado Rd Ste 308San Diego, CA 92120-5268
Phone(619) 265-7912
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 21, 2024
NPPES CertifiedJune 21, 2024
✔ NPI 1063256360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA64295
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License PA64295 (CA)
6719 ALVARADO RD STE 308, San Diego, CA 92120
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amelia Luckow Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577099597
PECOS Enrollment IDI20241213000002
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVINA LAM
Physician Assistant (Surgical)
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912
PHILIP J KRUEGER MD INC
Clinic/Center
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912
SOPHEA BERGEN PA-C
Physician Assistant
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912
JEFFRY JACOB MERCADO M.D.
Physical Medicine & Rehabilitation
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912
EMMA LUCILLE POOL PA-C
Physician Assistant
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amelia Luckow's NPI number?

The NPI number for Amelia Luckow is 1063256360. It was assigned to this individual provider in the NPPES registry on June 21, 2024.

Where is Amelia Luckow located?

Amelia Luckow practices at 6719 Alvarado Rd Ste 308, San Diego, CA 92120. The listed phone number is (619) 265-7912.

What is Amelia Luckow's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amelia Luckow enrolled in Medicare?

Yes. Amelia Luckow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amelia Luckow was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.