Roger G Amigo, DO is a medicare enrolled "Urology" physician in Bellefontaine, Ohio. He went to Ohio University, College Of Osteopathic Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mary Rutan Hospital and his current practice location is
2160 Ewing Crawfis Cir, Bellefontaine, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 593-0070.
Roger G Amigo is licensed to practice in Ohio (license number 5016) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982603668.
Physician's Profile
| Full Name | Roger G Amigo |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 35 Years |
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| Location | 2160 Ewing Crawfis Cir, Bellefontaine, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Roger G Amigo attended and graduated from Ohio University, College Of Osteopathic Medicine in 1989
NPI Data:
- NPI Number: 1982603668
- Provider Enumeration Date: 07/15/2005
- Last Update Date: 11/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 0749275865
- Enrollment ID: I20100810000055
Medical Identifiers
Medical identifiers for Roger G Amigo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982603668 | NPI | - | NPPES |
| 340010844 | Other | OH | RAILROAD MEDICARE PALMETT |
| 000000007681 | Other | OH | ANTHAN BCBS |
| 310884319033 | Other | OH | CARESOURCE |
| 0836760 | Medicaid | OH | |
| 5198086 | Other | OH | AETNA |
| 3980672 | Other | OH | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 5016 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mary Rutan Hospital | 9032013792 | 80 |
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. Roger G Amigo allows following entities to bill medicare on his behalf.
| Entity Name | Mary Rutan Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548254931
PECOS PAC ID: 9032013792
Enrollment ID: O20031124000531 |
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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. Roger G 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 |
|---|
Roger G Amigo, DO
2160 Ewing Crawfis Cir,
Bellefontaine, OH 43311-9042
Ph: (937) 593-0070 | Roger G Amigo, DO
2160 Ewing Crawfis Cir,
Bellefontaine, OH 43311-9042
Ph: (937) 593-0070 |
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