Melissa M M Agoudemos, MD in Meridian, ID

Melissa M M Agoudemos, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Meridian, Idaho. Her current practice location is 520 S Eagle Rd, Suite 2204, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 336-9188.

Melissa M M Agoudemos is licensed to practice in Illinois (license number 036-125447) 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 1518175579.

Contact Information

	Melissa M M Agoudemos, MD
	520 S Eagle Rd, Suite 2204, Meridian, ID 83642-6351
	(208) 336-9188
	(208) 336-2636

Map and Direction

Physician's Profile

Full Name	Melissa M M Agoudemos
Gender	Female
Speciality	Pediatrics - Pediatric Cardiology
Location	520 S Eagle Rd, Meridian, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518175579
Provider Enumeration Date: 05/21/2007
Last Update Date: 04/18/2017

Medicare PECOS Information:

PECOS PAC ID: 1456547447
Enrollment ID: I20160718002095

Medical Identifiers

Medical identifiers for Melissa M M Agoudemos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518175579	NPI	-	NPPES
036125447	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	R-8001 (Iowa)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	036-125447 (Illinois)	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. Melissa M M Agoudemos allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Melissa M M Agoudemos 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
Melissa M M Agoudemos, MD 520 S Eagle Rd, Suite 2204, Meridian, ID 83642-6351 Ph: (208) 336-9188	Melissa M M Agoudemos, MD 520 S Eagle Rd, Suite 2204, Meridian, ID 83642-6351 Ph: (208) 336-9188

Reviews and Comments

Pediatrics Doctors in Meridian, ID

Kristina Miles, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2275 S Eagle Rd Ste 120, Meridian, ID 83642 Phone: 208-514-2520 Fax: 208-375-2217
Mrs. Anne E. Riffle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3653 N. Locust Grove Road, Meridian, ID 83646 Phone: 208-338-5437 Fax: 208-939-9811
Robert F Adams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-336-9188
Joshua Edwin Albright, Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Celebration Ave, Meridian, ID 83642 Phone: 208-884-1030
Lisa M. Barker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Celebration Ave, Meridian, ID 83642 Phone: 208-884-1030
Dr. Brian C Birch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2921 S Meridian Rd, Meridian, ID 83642 Phone: 208-297-7847 Fax: 208-203-0097
Susan C Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3280 E Lanark Dr, Meridian, ID 83642 Phone: 208-377-4400 Fax: 208-377-4416

Melissa M M Agoudemos, MD - Medicare Pediatrics in Meridian, ID