Dr Enrique Amin Africano, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Ashland, Wisconsin. His current practice location is
1615 Maple Lane, Ashland, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 685-5500.
Dr Enrique Amin Africano is licensed to practice in Wisconsin (license number 69640-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184617862.
Physician's Profile
| Full Name | Dr Enrique Amin Africano |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1615 Maple Lane, Ashland, Wisconsin |
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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: 1184617862
- Provider Enumeration Date: 08/26/2005
- Last Update Date: 10/01/2018
Medicare PECOS Information:
- PECOS PAC ID: 1850383159
- Enrollment ID: I20180823000743
Medical Identifiers
Medical identifiers for Dr Enrique Amin Africano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184617862 | NPI | - | NPPES |
| 43577X | Other | FL | MEDICARE UNSPECIFIED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | ME75697 (Florida) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 69640-20 (Wisconsin) | 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 Enrique Amin Africano allows following entities to bill medicare on his behalf.
| Entity Name | Richland Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659301273
PECOS PAC ID: 7618861618
Enrollment ID: O20110318000356 |
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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 Enrique Amin Africano 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 Enrique Amin Africano, MD
1615 Maple Lane,
Ashland, WI 54806
Ph: (715) 685-5500 | Dr Enrique Amin Africano, MD
1615 Maple Lane,
Ashland, WI 54806
Ph: (715) 685-5500 |
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