Amanda Nicole Schlak, MD - Medicare Pediatrics in Richmond, VA

Amanda Nicole Schlak, MD is a medicare enrolled "Pediatrics" physician in Richmond, Virginia. Her current practice location is 1250 E Marshall St, Dept. Of Pediatrics, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 828-6704.

Amanda Nicole Schlak is licensed to practice in Virginia (license number 0101260011) 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 1710325238.

Contact Information

Amanda Nicole Schlak, MD
1250 E Marshall St, Dept. Of Pediatrics,
Richmond, VA 23298-5051
(804) 828-6704
(804) 628-0375



Physician's Profile

Full NameAmanda Nicole Schlak
GenderFemale
SpecialityPediatrics
Location1250 E Marshall St, Richmond, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710325238
  • Provider Enumeration Date: 06/06/2013
  • Last Update Date: 10/13/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5991947806
  • Enrollment ID: I20161208001591

Medical Identifiers

Medical identifiers for Amanda Nicole Schlak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710325238NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101260011 (Virginia)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 Nicole Schlak allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Intensivist Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912942665
PECOS PAC ID: 9335152107
Enrollment ID: O20190131001122

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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 Nicole Schlak 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 AddressPractice Location Address
Amanda Nicole Schlak, MD
Po Box 91734,
Richmond, VA 23291-1734

Ph: (804) 358-6100
Amanda Nicole Schlak, MD
1250 E Marshall St, Dept. Of Pediatrics,
Richmond, VA 23298-5051

Ph: (804) 828-6704

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Pediatrics Doctors in Richmond, VA

Marieka Ann Helou, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 401 N 11th St, Nelson Clinic, 2nd Floor, Room 210, Richmond, VA 23298
Phone: 804-828-9300    
Rhoda B Mahoney, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226
Phone: 804-282-4205    Fax: 804-673-6432
Dr. Tracy Stroma Mcneish, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9900 Independence Park Dr, Suite 100, Richmond, VA 23233
Phone: 804-747-1855    Fax: 804-762-8837
Dr. Burak Gumuscu, MD, PHD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5855 Bremo Road, Mob North,, Suite 703, Richmond, VA 23226
Phone: 804-281-8182    
Kathryn B Russell, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226
Phone: 804-282-4205    Fax: 804-673-6432
Jan N. Dalby, NP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226
Phone: 804-282-4205    Fax: 804-673-6432
Randall Wayne Johnson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7101 Jahnke Rd, 2nd Floor, Richmond, VA 23225
Phone: 804-323-8893    

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