Dr Amanda Suzette Freitas Degan, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Montclair, California. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
5330 San Bernardino St, Montclair, California. You can reach out to her office (for appointments etc.) via phone at
(866) 205-3595.
Dr Amanda Suzette Freitas Degan is licensed to practice in California (license number 20A18663) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629501770.
Physician's Profile
| Full Name | Dr Amanda Suzette Freitas Degan |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 7 Years |
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| Location | 5330 San Bernardino St, Montclair, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Amanda Suzette Freitas Degan graduated from medical school in 2017
NPI Data:
- NPI Number: 1629501770
- Provider Enumeration Date: 04/06/2017
- Last Update Date: 06/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769737089
- Enrollment ID: I20210917000687
Medical Identifiers
Medical identifiers for Dr Amanda Suzette Freitas Degan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629501770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | R2782 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A18663 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern California Permanente Medical Group | 6002729175 | 8172 |
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. Dr Amanda Suzette Freitas Degan allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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. Dr Amanda Suzette Freitas Degan 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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Dr Amanda Suzette Freitas Degan, DO
5330 San Bernardino St,
Montclair, CA 91763-2952
Ph: (858) 837-2444 | Dr Amanda Suzette Freitas Degan, DO
5330 San Bernardino St,
Montclair, CA 91763-2952
Ph: (866) 205-3595 |
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