Amanda Kaza, NP is a medicare enrolled "Internal Medicine - Cardiovascular Disease" in Grand Rapids, Michigan. Her current practice location is
3210 Eagle Run Dr Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 456-9553.
Amanda Kaza is licensed to practice in Michigan (license number 4704252802) 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 1760134696.
Provider's Profile
Full Name | Amanda Kaza |
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Gender | Female |
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Speciality | Internal Medicine - Cardiovascular Disease |
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Location | 3210 Eagle Run Dr Ne, Grand Rapids, Michigan |
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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: 1760134696
- Provider Enumeration Date: 01/21/2022
- Last Update Date: 05/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941652978
- Enrollment ID: I20240116001170
Medical Identifiers
Medical identifiers for Amanda Kaza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760134696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | 4704252802 (Michigan) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 4704252802 (Michigan) | 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. Amanda Kaza allows following entities to bill medicare on her behalf.
Entity Name | West Michigan Cardiology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780770859 PECOS PAC ID: 3072501436 Enrollment ID: O20040504000919 |
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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. Amanda Kaza 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 Kaza, NP Po Box 150036, Grand Rapids, MI 49515-0036 Ph: (616) 456-9553 | Amanda Kaza, NP 3210 Eagle Run Dr Ne, Grand Rapids, MI 49525-7051 Ph: (616) 456-9553 |
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