Amy Schroder Bezold, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Oregon. Her current practice location is
3181 Sw Sam Jackson Park Rd # L-579, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(425) 761-0366.
Amy Schroder Bezold is licensed to practice in Oregon (license number PG218962) 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 1932442415.
Physician's Profile
Full Name | Amy Schroder Bezold |
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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 | 3181 Sw Sam Jackson Park Rd # L-579, Portland, Oregon |
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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: 1932442415
- Provider Enumeration Date: 04/02/2013
- Last Update Date: 06/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749506384
- Enrollment ID: I20180426000231
Medical Identifiers
Medical identifiers for Amy Schroder Bezold such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932442415 | NPI | - | NPPES |
382826101 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | E-9639 (Arkansas) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | R6745 (Texas) | Secondary |
207Q00000X | Family Medicine | R6745 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | PG218962 (Oregon) | 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 Schroder Bezold allows following entities to bill medicare on her behalf.
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
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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 Schroder Bezold 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 Schroder Bezold, DO 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 747-2849 | Amy Schroder Bezold, DO 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3098 Ph: (425) 761-0366 |
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