JOANNA ELDREDGE M.D.
NPI 1548656713
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Joanna Eldredge's NPI number?

The NPI number for Joanna Eldredge is 1548656713. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Q: What is Joanna Eldredge's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Joanna Eldredge was last updated on December 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment

4501 X ST STE 3016, SACRAMENTO, CA 95817(916) 734-3772 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Joanna Eldredge M.d. NPPES

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

JOANNA ELDREDGE M.D. (NPI 1548656713) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2015).

NPPES Registry Identity

NPI1548656713

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJOANNA ELDREDGECredential: M.D.

Location Address4501 X ST STE 3016Sacramento, CA 95817-2229

Mailing Address4501 X St Ste 3016Sacramento, CA 95817-2229 · (916) 734-3772

Phone(916) 734-3772

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2015

Enumeration DateApril 14, 2015

Last NPPES UpdateDecember 22, 2021

✔ NPI 1548656713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4501 X ST STE 3016, Sacramento, CA 95817

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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

Joanna Eldredge M.d. 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 ID4183012289

PECOS Enrollment IDI20211021002781

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.

Other Providers at the Same Location NPPES 16

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

JOHN F LINDER

Social Worker (Clinical)