Amy Myrl Prince, is a medicare enrolled "Pediatrics" physician in Fort Morgan, Colorado. Her current practice location is
1000 Lincoln St Ste 101, Fort Morgan, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 542-4466.
Amy Myrl Prince is licensed to practice in Colorado (license number DR.0055211) 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 1972700193.
Physician's Profile
| Full Name | Amy Myrl Prince |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1000 Lincoln St Ste 101, Fort Morgan, Colorado |
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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: 1972700193
- Provider Enumeration Date: 06/29/2007
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 9032430624
- Enrollment ID: I20150608002302
Medical Identifiers
Medical identifiers for Amy Myrl Prince such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972700193 | NPI | - | NPPES |
| 69050015 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | DR.0055211 (Colorado) | Secondary |
| 208000000X | Pediatrics | 2010019730 (Missouri) | Secondary |
| 208000000X | Pediatrics | 05-33934 (Kansas) | Secondary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | DR.0055211 (Colorado) | Secondary |
| 208000000X | Pediatrics | DR.0055211 (Colorado) | 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 Myrl Prince allows following entities to bill medicare on her behalf.
| Entity Name | Yuma District Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841343407
PECOS PAC ID: 6305758830
Enrollment ID: O20031223000344 |
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| Entity Name | Carepoint Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275516346
PECOS PAC ID: 0547154957
Enrollment ID: O20040209000313 |
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| Entity Name | Colorado Plains Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821042409
PECOS PAC ID: 4082628706
Enrollment ID: O20060202000338 |
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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 Myrl Prince 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 |
|---|
Amy Myrl Prince,
1000 Lincoln St Ste 101,
Fort Morgan, CO 80701-3290
Ph: (970) 542-4466 | Amy Myrl Prince,
1000 Lincoln St Ste 101,
Fort Morgan, CO 80701-3290
Ph: (970) 542-4466 |
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