Aklilu Ameha, is a medicare enrolled "Dentist - General Practice" provider in South Vienna, Ohio. His current practice location is
8490 E National Rd, South Vienna, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 568-3302.
Aklilu Ameha is licensed to practice in Ohio (license number 30.024972) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942654363.
Healthcare Provider's Profile
Full Name | Aklilu Ameha |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 8490 E National Rd, South Vienna, Ohio |
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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: 1942654363
- Provider Enumeration Date: 04/21/2016
- Last Update Date: 12/11/2017
Medicare PECOS Information:
- PECOS PAC ID: 0244523710
- Enrollment ID: I20160720002103
Medical Identifiers
Medical identifiers for Aklilu Ameha such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942654363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 30.024972 (Ohio) | 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. Aklilu Ameha 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 |
Aklilu Ameha, 4656 Ralston St, Columbus, OH 43214-1938 Ph: (614) 668-5869 | Aklilu Ameha, 8490 E National Rd, South Vienna, OH 45369-9707 Ph: (937) 568-3302 |
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