Edith C Amadi, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Gardena, California. Her current practice location is
1225 W 190th St Ste 280, Gardena, California. You can reach out to her office (for appointments etc.) via phone at
(310) 515-8113.
Edith C Amadi is licensed to practice in California (license number 95023646) 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 1801509328.
Provider's Profile
Full Name | Edith C Amadi |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 1225 W 190th St Ste 280, Gardena, California |
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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: 1801509328
- Provider Enumeration Date: 12/29/2022
- Last Update Date: 03/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375908635
- Enrollment ID: I20230420002801
Medical Identifiers
Medical identifiers for Edith C Amadi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801509328 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95023646 (California) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 95023646 (California) | 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. Edith C Amadi allows following entities to bill medicare on her behalf.
Entity Name | Hisham Soliman Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700199080 PECOS PAC ID: 9436282191 Enrollment ID: O20100802000172 |
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Entity Name | Ehab Yacoub Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
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Entity Name | H Soliman Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093429581 PECOS PAC ID: 9335505429 Enrollment ID: O20230516000579 |
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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. Edith C Amadi 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 |
Edith C Amadi, 1680 Chamberlin Creek Way, Perris, CA 92571-3740 Ph: (323) 304-1408 | Edith C Amadi, 1225 W 190th St Ste 280, Gardena, CA 90248-4305 Ph: (310) 515-8113 |
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