Amy Nicole Lebedoff, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Minneapolis, Minnesota. Her current practice location is
2525 Chicago Ave S, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 813-7240.
Amy Nicole Lebedoff is licensed to practice in Minnesota (license number 67478) 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 1841686573.
Physician's Profile
| Full Name | Amy Nicole Lebedoff |
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| Gender | Female |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 2525 Chicago Ave S, Minneapolis, Minnesota |
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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: 1841686573
- Provider Enumeration Date: 04/09/2015
- Last Update Date: 07/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638459183
- Enrollment ID: I20200909000631
Medical Identifiers
Medical identifiers for Amy Nicole Lebedoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841686573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 67478 (Minnesota) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 67478 (Minnesota) | 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 Nicole Lebedoff allows following entities to bill medicare on her behalf.
| Entity Name | Gillette Childrens Specialty Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225119175
PECOS PAC ID: 0547169211
Enrollment ID: O20040503000485 |
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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 Nicole Lebedoff 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 Nicole Lebedoff, MD
4227 Nicollet Ave, Apt 100,
Minneapolis, MN 55409-2058
Ph: () - | Amy Nicole Lebedoff, MD
2525 Chicago Ave S,
Minneapolis, MN 55404-4518
Ph: (612) 813-7240 |
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