Dr Amber Wiggins, OD is a medicare enrolled "Optometrist" provider in Lexington Park, Maryland. Her current practice location is
46300 Lexington Village Way, Lexington Park, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 862-2436.
Dr Amber Wiggins is licensed to practice in Maryland (license number TA2943) 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 1104551746.
Healthcare Provider's Profile
Full Name | Dr Amber Wiggins |
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Gender | Female |
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Speciality | Optometrist |
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Location | 46300 Lexington Village Way, Lexington Park, Maryland |
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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: 1104551746
- Provider Enumeration Date: 07/18/2022
- Last Update Date: 12/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901274463
- Enrollment ID: I20221115001873
Medical Identifiers
Medical identifiers for Dr Amber Wiggins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104551746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TA2943 (Maryland) | Primary |
152W00000X | Optometrist | 2862 (Arkansas) | Secondary |
152W00000X | Optometrist | OP1100729 (Arkansas) | Secondary |
152W00000X | Optometrist | OPC6393 (Florida) | Secondary |
152W00000X | Optometrist | 0618003357 (Virginia) | Secondary |
152W00000X | Optometrist | 2420 (South Carolina) | Secondary |
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. Dr Amber Wiggins allows following entities to bill medicare on her behalf.
Provider Name | Med Southwest Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1497211783 PECOS PAC ID: 4082952874 Enrollment ID: O20190403000952 |
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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. Dr Amber Wiggins 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 |
Dr Amber Wiggins, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Dr Amber Wiggins, OD 46300 Lexington Village Way, Lexington Park, MD 20653-5560 Ph: (301) 862-2436 |
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