Nelly Y Amador, MD, PMD is a medicare enrolled "Emergency Medicine" physician in Boscobel, Wisconsin. Her current practice location is
205 Parker St, Boscobel, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 375-4112.
Nelly Y Amador is licensed to practice in Wisconsin (license number 66004) 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 1336119064.
Physician's Profile
| Full Name | Nelly Y Amador |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 205 Parker St, Boscobel, Wisconsin |
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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: 1336119064
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 02/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284656422
- Enrollment ID: I20051230000503
Medical Identifiers
Medical identifiers for Nelly Y Amador such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336119064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 036136816 (Illinois) | Secondary |
| 207T00000X | Neurological Surgery | 48093 (Minnesota) | Secondary |
| 207P00000X | Emergency Medicine | 66004 (Wisconsin) | 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. Nelly Y Amador allows following entities to bill medicare on her behalf.
| Entity Name | Swift County-benson Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174529002
PECOS PAC ID: 8729069281
Enrollment ID: O20040528001145 |
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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. Nelly Y Amador 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 |
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Nelly Y Amador, MD, PMD
2400 N Rockton Ave, Emergency Medicine Dept,
Rockford, IL 61103-3655
Ph: (815) 971-3333 | Nelly Y Amador, MD, PMD
205 Parker St,
Boscobel, WI 53805-1642
Ph: (608) 375-4112 |
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