Amanda Aguirre, RD is a medicare enrolled "Dietitian, Registered" provider in San Luis, Arizona. Her current practice location is
1896 E Babbit Lane, San Luis, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 722-6112.
Amanda Aguirre is licensed to practice in Arizona (license number 706990) 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 1942615760.
Healthcare Provider's Profile
| Full Name | Amanda Aguirre |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1896 E Babbit Lane, San Luis, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942615760
- Provider Enumeration Date: 07/01/2014
- Last Update Date: 07/01/2014
Medicare PECOS Information:
- PECOS PAC ID: 4789573965
- Enrollment ID: I20181230000037
Medical Identifiers
Medical identifiers for Amanda Aguirre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942615760 | NPI | - | NPPES |
| 2811251 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 706990 (Arizona) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Aguirre allows following entities to bill medicare on her behalf.
| Provider Name | San Luis Walk-in Clinic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1104228337
PECOS PAC ID: 2668361841
Enrollment ID: O20040514000795 |
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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. Amanda Aguirre 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 |
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Amanda Aguirre, RD
P.o. Box 1669,
San Luis, AZ 85349
Ph: (928) 722-6112 | Amanda Aguirre, RD
1896 E Babbit Lane,
San Luis, AZ 85349
Ph: (928) 722-6112 |
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