Mrs Amy Ray Trifonov, LCSW, LMFT is a medicare enrolled "Social Worker - Clinical" provider in Denver, Colorado. Her current practice location is
10350 E Dakota Ave, Suite B, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 338-4545.
Mrs Amy Ray Trifonov is licensed to practice in Colorado (license number 992343) 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 1487863445.
Healthcare Provider's Profile
| Full Name | Mrs Amy Ray Trifonov |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 10350 E Dakota Ave, Denver, Colorado |
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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: 1487863445
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 06/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597939462
- Enrollment ID: I20111111000251
Medical Identifiers
Medical identifiers for Mrs Amy Ray Trifonov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487863445 | NPI | - | NPPES |
| 022314 | Other | CO | KAISER COMMERCIAL NUMBER |
| 01825046 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 590 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | 992343 (Colorado) | 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. Mrs Amy Ray Trifonov allows following entities to bill medicare on her behalf.
| Entity Name | Colorado Permanente Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
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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. Mrs Amy Ray Trifonov 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 |
Mrs Amy Ray Trifonov, LCSW, LMFT 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Mrs Amy Ray Trifonov, LCSW, LMFT 10350 E Dakota Ave, Suite B, Denver, CO 80247-1314 Ph: (303) 338-4545 |
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