Amanda Gostigian, DO is a medicare enrolled "Radiology - Diagnostic Radiology" in Springfield, Illinois. Her current practice location is
800 E Carpenter Street Box 43, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 814-5178.
Amanda Gostigian is licensed to practice in Illinois (license number 125081875) 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 1467907006.
Provider's Profile
Full Name | Amanda Gostigian |
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Gender | Female |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 800 E Carpenter Street Box 43, Springfield, Illinois |
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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: 1467907006
- Provider Enumeration Date: 08/24/2016
- Last Update Date: 06/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153600374
- Enrollment ID: I20161110002371
Medical Identifiers
Medical identifiers for Amanda Gostigian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467907006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (Florida) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 125081875 (Illinois) | 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. Amanda Gostigian 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 |
Amanda Gostigian, DO 800 E Carpenter Street Box 43, Springfield, IL 62769-0001 Ph: () - | Amanda Gostigian, DO 800 E Carpenter Street Box 43, Springfield, IL 62769-4968 Ph: (217) 814-5178 |
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