Amy Theppote, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Milwaukie, Oregon. Her current practice location is
6542 Se Lake Rd Ste 102, Milwaukie, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 659-6686.
Amy Theppote is licensed to practice in Oregon (license number DP184377) 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 1578980694.
Healthcare Provider's Profile
Full Name | Amy Theppote |
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Gender | Female |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 6542 Se Lake Rd Ste 102, Milwaukie, Oregon |
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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: 1578980694
- Provider Enumeration Date: 03/26/2014
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 2062719180
- Enrollment ID: I20180102002828
Medical Identifiers
Medical identifiers for Amy Theppote such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578980694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | DP184377 (Oregon) | 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. Amy Theppote allows following entities to bill medicare on her behalf.
Provider Name | Peacehealth Networks On Demand Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1023582178 PECOS PAC ID: 1759731383 Enrollment ID: O20240612001355 |
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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. Amy Theppote 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 |
Amy Theppote, DPM 6542 Se Lake Rd Ste 102, Portland, OR 97222-2245 Ph: (503) 659-6686 | Amy Theppote, DPM 6542 Se Lake Rd Ste 102, Milwaukie, OR 97222-2245 Ph: (503) 659-6686 |
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