Amy Elizabeth Vagedes, is a medicare enrolled "Pediatrics" physician in Eielson Afb, Alaska. Her current practice location is
2630 Central Ave, Eielson Afb, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 377-6455.
Amy Elizabeth Vagedes is licensed to practice in Ohio (license number 34.012353) 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 1699193318.
Physician's Profile
| Full Name | Amy Elizabeth Vagedes |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 2630 Central Ave, Eielson Afb, Alaska |
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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: 1699193318
- Provider Enumeration Date: 03/31/2014
- Last Update Date: 04/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 3476855982
- Enrollment ID: I20201016000888
Medical Identifiers
Medical identifiers for Amy Elizabeth Vagedes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699193318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 34.012353 (Ohio) | 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. Amy Elizabeth Vagedes allows following entities to bill medicare on her behalf.
| Entity Name | Tanana Valley Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922559558
PECOS PAC ID: 5698056901
Enrollment ID: O20161228001991 |
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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. Amy Elizabeth Vagedes 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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Amy Elizabeth Vagedes,
1195 Haselton Rd.,
Cleveland, OH 44121
Ph: (330) 575-7110 | Amy Elizabeth Vagedes,
2630 Central Ave,
Eielson Afb, AK 99702-2301
Ph: (907) 377-6455 |
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