Melissa M M Agoudemos, MD - Medicare Pediatrics in Meridian, ID

Melissa M M Agoudemos, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Meridian, Idaho. Her current practice location is 520 S Eagle Rd, Suite 2204, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 336-9188.

Melissa M M Agoudemos is licensed to practice in Illinois (license number 036-125447) 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 1518175579.

Contact Information

Melissa M M Agoudemos, MD
520 S Eagle Rd, Suite 2204,
Meridian, ID 83642-6351
(208) 336-9188
(208) 336-2636



Physician's Profile

Full NameMelissa M M Agoudemos
GenderFemale
SpecialityPediatrics - Pediatric Cardiology
Location520 S Eagle Rd, Meridian, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518175579
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 04/18/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1456547447
  • Enrollment ID: I20160718002095

Medical Identifiers

Medical identifiers for Melissa M M Agoudemos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518175579NPI-NPPES
036125447MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics R-8001 (Iowa)Secondary
2080P0202XPediatrics - Pediatric Cardiology 036-125447 (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. Melissa M M Agoudemos allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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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. Melissa M M Agoudemos 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
Melissa M M Agoudemos, MD
520 S Eagle Rd, Suite 2204,
Meridian, ID 83642-6351

Ph: (208) 336-9188
Melissa M M Agoudemos, MD
520 S Eagle Rd, Suite 2204,
Meridian, ID 83642-6351

Ph: (208) 336-9188

News Archive

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Pediatrics Doctors in Meridian, ID

Kristina Miles, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3277 E Louise Dr Ste 200, Meridian, ID 83642
Phone: 208-463-3000    
Mrs. Anne E. Riffle, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3653 N. Locust Grove Road, Meridian, ID 83646
Phone: 208-338-5437    Fax: 208-939-9811
Robert F Adams, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 520 S Eagle Rd, Meridian, ID 83642
Phone: 208-336-9188    
Joshua Edwin Albright,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1620 S Celebration Ave, Meridian, ID 83642
Phone: 208-884-1030    
Lisa M. Barker, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1620 S Celebration Ave, Meridian, ID 83642
Phone: 208-884-1030    
Dr. Brian C Birch, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2921 S Meridian Rd, Meridian, ID 83642
Phone: 208-297-7847    Fax: 208-203-0097
Susan C Kim, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3280 E Lanark Dr, Meridian, ID 83642
Phone: 208-377-4400    Fax: 208-377-4416

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