Amy Elizabeth Vagedes, - Medicare Pediatrics in Eielson Afb, AK

Amy Elizabeth Vagedes, is a medicare enrolled "Pediatrics" physician in Eielson Afb, Alaska. Her current practice location is 2630 Central Ave, Eielson Afb, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 377-6455.

Amy Elizabeth Vagedes is licensed to practice in Ohio (license number 34.012353) 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 1699193318.

Contact Information

Amy Elizabeth Vagedes,
2630 Central Ave,
Eielson Afb, AK 99702-2301
(907) 377-6455
Not Available



Physician's Profile

Full NameAmy Elizabeth Vagedes
GenderFemale
SpecialityPediatrics
Location2630 Central Ave, Eielson Afb, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699193318
  • Provider Enumeration Date: 03/31/2014
  • Last Update Date: 04/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3476855982
  • Enrollment ID: I20201016000888

Medical Identifiers

Medical identifiers for Amy Elizabeth Vagedes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699193318NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 34.012353 (Ohio)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 Elizabeth Vagedes allows following entities to bill medicare on her behalf.
Entity NameTanana Valley Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922559558
PECOS PAC ID: 5698056901
Enrollment ID: O20161228001991

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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 Elizabeth Vagedes 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
Amy Elizabeth Vagedes,
1195 Haselton Rd.,
Cleveland, OH 44121

Ph: (330) 575-7110
Amy Elizabeth Vagedes,
2630 Central Ave,
Eielson Afb, AK 99702-2301

Ph: (907) 377-6455

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Pediatrics Doctors in Eielson Afb, AK


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