Dr Amelia J Santiago, MD is a medicare enrolled "Pediatrics" physician in Gilbert, West Virginia. Her current practice location is
202 Larry Joe Harless Drive, Suite 205, Gilbert, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 664-6270.
Dr Amelia J Santiago is licensed to practice in West Virginia (license number 12861) 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 1205871357.
Physician's Profile
| Full Name | Dr Amelia J Santiago |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 202 Larry Joe Harless Drive, Suite 205, Gilbert, West Virginia |
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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: 1205871357
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 03/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 5698957926
- Enrollment ID: I20110308000823
Medical Identifiers
Medical identifiers for Dr Amelia J Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205871357 | NPI | - | NPPES |
| 0112321000 | Medicaid | WV | |
| 65920951 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 21670 (Kentucky) | Secondary |
| 208000000X | Pediatrics | 12861 (West Virginia) | 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. Dr Amelia J Santiago allows following entities to bill medicare on her behalf.
| Entity Name | Lincoln County Primary Care Center Inc |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1942274543
PECOS PAC ID: 6204821879
Enrollment ID: O20040415000138 |
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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 Amelia J Santiago 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 Amelia J Santiago, MD
7400 Lynn Ave,
Hamlin, WV 25523-1138
Ph: (304) 824-5806 | Dr Amelia J Santiago, MD
202 Larry Joe Harless Drive, Suite 205,
Gilbert, WV 25621-1842
Ph: (304) 664-6270 |
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