Amanda Yuan Gu, MD is a medicare enrolled "Pediatrics" physician in Trafalgar, Indiana. Her current practice location is
14 Trafalgar Sq, Trafalgar, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 412-9190.
Amanda Yuan Gu is licensed to practice in Indiana (license number 01089396A) 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 1174143994.
Physician's Profile
Full Name | Amanda Yuan Gu |
---|
Gender | Female |
---|
Speciality | Pediatrics |
---|
Location | 14 Trafalgar Sq, Trafalgar, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174143994
- Provider Enumeration Date: 04/22/2020
- Last Update Date: 07/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890116594
- Enrollment ID: I20230411001188
Medical Identifiers
Medical identifiers for Amanda Yuan Gu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174143994 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 01089396A (Indiana) | 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 Yuan Gu allows following entities to bill medicare on her behalf.
Entity Name | Windrose Health Network Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1568404226 PECOS PAC ID: 8426965039 Enrollment ID: O20041018000851 |
---|
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 Yuan Gu 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 Yuan Gu, MD 14 Trafalgar Sq, Trafalgar, IN 46181-9515 Ph: (317) 412-9190 | Amanda Yuan Gu, MD 14 Trafalgar Sq, Trafalgar, IN 46181-9515 Ph: (317) 412-9190 |
Reviews and Comments