Mrs Toni Marie Amundsen, CNM is a medicare enrolled "Advanced Practice Midwife" in San Bernardino, California. Her current practice location is
2016 N D St, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at
(909) 881-3084.
Mrs Toni Marie Amundsen is licensed to practice in California (license number 1915) 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 1548560451.
Provider's Profile
| Full Name | Mrs Toni Marie Amundsen |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 2016 N D St, San Bernardino, California |
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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: 1548560451
- Provider Enumeration Date: 10/25/2010
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 8022256213
- Enrollment ID: I20130529000809
Medical Identifiers
Medical identifiers for Mrs Toni Marie Amundsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548560451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 1915 (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. Mrs Toni Marie Amundsen allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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| Entity Name | San Joaquin Faculty Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225063761
PECOS PAC ID: 4082631395
Enrollment ID: O20051026000742 |
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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. Mrs Toni Marie Amundsen 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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Mrs Toni Marie Amundsen, CNM
35070 Willow Springs Dr,
Yucaipa, CA 92399-5936
Ph: (909) 797-6607 | Mrs Toni Marie Amundsen, CNM
2016 N D St,
San Bernardino, CA 92405-3914
Ph: (909) 881-3084 |
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