Dr Sharon C Amaya, MD is a medicare enrolled "Emergency Medicine" physician in Dallas, Georgia. Her current practice location is
600 W Memorial Dr, Dallas, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 443-7072.
Dr Sharon C Amaya is licensed to practice in Georgia (license number 047182) 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 1326151861.
Physician's Profile
| Full Name | Dr Sharon C Amaya |
|---|
| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 600 W Memorial Dr, Dallas, Georgia |
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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: 1326151861
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 1153372008
- Enrollment ID: I20050208000626
Medical Identifiers
Medical identifiers for Dr Sharon C Amaya such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326151861 | NPI | - | NPPES |
| 00834226C | Medicaid | GA | |
| 00834226F | Medicaid | GA | |
| 00834226E | Medicaid | GA | |
| 119369000 | Other | GA | DOL |
| 00834226D | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 047182 (Georgia) | 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 Sharon C Amaya allows following entities to bill medicare on her behalf.
| Entity Name | The Bortolazzo Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801965082
PECOS PAC ID: 3476554320
Enrollment ID: O20070122000015 |
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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 Sharon C Amaya 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 |
|---|
Dr Sharon C Amaya, MD
5665 New Northside Dr Nw, Suite 320,
Atlanta, GA 30328-5831
Ph: (770) 874-5400 | Dr Sharon C Amaya, MD
600 W Memorial Dr,
Dallas, GA 30132-4117
Ph: (770) 443-7072 |
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