Dr Therese Mb Amigo, MD in Muskogee, OK

Dr Therese Mb Amigo, MD is a medicare enrolled "Pediatrics" physician in Muskogee, Oklahoma. Her current practice location is 401 S York St, Ccom Medical Group, Inc., Muskogee, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 683-1144.

Dr Therese Mb Amigo is licensed to practice in Oklahoma (license number 21291) 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 1235107814.

Contact Information

	Dr Therese Mb Amigo, MD
	401 S York St, Ccom Medical Group, Inc., Muskogee, OK 74403-5955
	(918) 683-1144
	(918) 683-5316

Map and Direction

Physician's Profile

Full Name	Dr Therese Mb Amigo
Gender	Female
Speciality	Pediatrics
Location	401 S York St, Muskogee, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235107814
Provider Enumeration Date: 03/09/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8628113750
Enrollment ID: I20170210001244

Medical Identifiers

Medical identifiers for Dr Therese Mb Amigo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235107814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	21291 (Oklahoma)	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 Therese Mb Amigo allows following entities to bill medicare on her behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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 Therese Mb Amigo 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 Therese Mb Amigo, MD 350 S 40th St, Ccom Medical Group, Inc., Muskogee, OK 74401-4915 Ph: (918) 683-0753	Dr Therese Mb Amigo, MD 401 S York St, Ccom Medical Group, Inc., Muskogee, OK 74403-5955 Ph: (918) 683-1144

Reviews and Comments

Pediatrics Doctors in Muskogee, OK

Dr. Thomas A Kincade, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 S 41st St E, Muskogee, OK 74403 Phone: 918-781-6500
Ryan T Mundy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2009 N Main St, Premier Pediatrics, Muskogee, OK 74401 Phone: 918-816-4024 Fax: 918-816-4025
Dr. Tracy Alan Hoos Ii, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 904 W. Okmulgee, Muskogee, OK 74401 Phone: 918-910-7991 Fax: 918-205-8833
Michael F Stratton, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3101 Chandler Rd, #101, Muskogee, OK 74403 Phone: 918-687-4411 Fax: 918-687-4448
Dr. Di Wilkinson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3101 Chandler Rd, #101, Muskogee, OK 74403 Phone: 918-687-4411 Fax: 918-687-4448
Dr. Ali Siddiqui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Rockefeller Dr, Muskogee, OK 74401 Phone: 918-684-2523

Dr Therese Mb Amigo, MD - Medicare Pediatrics in Muskogee, OK