Amanda Mahoney, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Livonia, Michigan. Her current practice location is
37595 7 Mile Rd, Livonia, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 793-2470.
Amanda Mahoney 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 1124549282.
Physician's Profile
Full Name | Amanda Mahoney |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 37595 7 Mile Rd, Livonia, Michigan |
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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: 1124549282
- Provider Enumeration Date: 06/29/2017
- Last Update Date: 07/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224307079
- Enrollment ID: I20170711000068
Medical Identifiers
Medical identifiers for Amanda Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124549282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 2017022321 (Missouri) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Amanda Mahoney 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 |
Amanda Mahoney, MD 37595 7 Mile Rd, Livonia, MI 48152-1487 Ph: (734) 793-2470 | Amanda Mahoney, MD 37595 7 Mile Rd, Livonia, MI 48152-1487 Ph: (734) 793-2470 |
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