Gabriel Jerome Amon, MD is a medicare enrolled "Dermatology" physician in Eden Prairie, Minnesota. His current practice location is
18315 Cascade Dr Ste 150, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 934-7336.
Gabriel Jerome Amon is licensed to practice in Minnesota (license number 77244) 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 1982233599.
Physician's Profile
Full Name | Gabriel Jerome Amon |
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Gender | Male |
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Speciality | Dermatology |
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Location | 18315 Cascade Dr Ste 150, Eden Prairie, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982233599
- Provider Enumeration Date: 04/06/2020
- Last Update Date: 07/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325463847
- Enrollment ID: I20200731000060
Medical Identifiers
Medical identifiers for Gabriel Jerome Amon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982233599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 77244 (Minnesota) | Primary |
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. Gabriel Jerome Amon 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 |
Gabriel Jerome Amon, MD 119 14th St Nw Ste 240, New Brighton, MN 55112-0007 Ph: (763) 571-4000 | Gabriel Jerome Amon, MD 18315 Cascade Dr Ste 150, Eden Prairie, MN 55347-1185 Ph: (952) 934-7336 |
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