Mrs Vivian C Agumadu, MD is a medicare enrolled "Internal Medicine" in Rockford, Illinois. Her current practice location is
2400 N Rockton Ave, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 971-6331.
Mrs Vivian C Agumadu is licensed to practice in Illinois (license number 125.075337) 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 1679711949.
Provider's Profile
Full Name | Mrs Vivian C Agumadu |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 2400 N Rockton Ave, Rockford, 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: 1679711949
- Provider Enumeration Date: 01/26/2009
- Last Update Date: 01/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 4981761749
- Enrollment ID: I20231129000482
Medical Identifiers
Medical identifiers for Mrs Vivian C Agumadu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679711949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | 125.075337 (Illinois) | 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 Vivian C Agumadu allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
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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 Vivian C Agumadu 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 |
Mrs Vivian C Agumadu, MD 7635 Tanglecrest Dr, Dallas, TX 75254-8020 Ph: (214) 762-6767 | Mrs Vivian C Agumadu, MD 2400 N Rockton Ave, Rockford, IL 61103-3655 Ph: (815) 971-6331 |
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