Kevin Amuquandoh, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. His current practice location is
10800 Knights Rd, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 612-5161.
Kevin Amuquandoh is licensed to practice in Pennsylvania (license number OT021010) 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 1619544806.
Physician's Profile
Full Name | Kevin Amuquandoh |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 10800 Knights Rd, Philadelphia, Pennsylvania |
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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: 1619544806
- Provider Enumeration Date: 06/07/2021
- Last Update Date: 06/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062817703
- Enrollment ID: I20210819000029
Medical Identifiers
Medical identifiers for Kevin Amuquandoh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619544806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | OT021010 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | OT021010 (Pennsylvania) | 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. Kevin Amuquandoh 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 |
Kevin Amuquandoh, 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: (215) 612-5161 | Kevin Amuquandoh, 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: (215) 612-5161 |
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