Dr Amy Hehr Kassouf, MD is a medicare enrolled "Dermatology" physician in South Euclid, Ohio. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1992 and has 32 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Cleveland Clinic Foundation and her current practice location is
1611 S Green Rd, Suite 146, South Euclid, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 382-3806.
Dr Amy Hehr Kassouf is licensed to practice in Ohio (license number 35065826) 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 1295918597.
Physician's Profile
| Full Name | Dr Amy Hehr Kassouf |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 32 Years |
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| Location | 1611 S Green Rd, South Euclid, Ohio |
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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 Amy Hehr Kassouf attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1992
NPI Data:
- NPI Number: 1295918597
- Provider Enumeration Date: 12/10/2007
- Last Update Date: 01/21/2008
Medicare PECOS Information:
- PECOS PAC ID: 6608901350
- Enrollment ID: I20100319000140
Medical Identifiers
Medical identifiers for Dr Amy Hehr Kassouf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295918597 | NPI | - | NPPES |
| 2070735 | Medicaid | OH | |
| 1154487932 | Other | OH | GROUP NPI |
| 9186053 | Other | OH | GROUP MEDICARE LEGACY NUM |
| 9186057 | Other | OH | GROUP MEDICARE LEGACY NUM |
| 9186052 | Other | OH | MEDICARE GROUP LEGACY NUM |
| 9186055 | Other | OH | MEDICARE GROUP LEGACY NUM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 35065826 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cleveland Clinic Foundation | 1850203555 | 5680 |
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 Amy Hehr Kassouf allows following entities to bill medicare on her behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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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 Amy Hehr Kassouf 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 Amy Hehr Kassouf, MD
1611 S Green Rd, Suite 146,
South Euclid, OH 44121-4128
Ph: (216) 382-3806 | Dr Amy Hehr Kassouf, MD
1611 S Green Rd, Suite 146,
South Euclid, OH 44121-4128
Ph: (216) 382-3806 |
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