Amy Lynn Hoffman, DO is a medicare enrolled "Emergency Medicine" physician in Grand Haven, Michigan. Her current practice location is
1309 Sheldon Rd, Grand Haven, Michigan. You can reach out to her office (for appointments etc.) via phone at
(866) 898-7139.
Amy Lynn Hoffman is licensed to practice in Michigan (license number 5101014274) 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 1508870197.
Physician's Profile
| Full Name | Amy Lynn Hoffman |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 1309 Sheldon Rd, Grand Haven, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508870197
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 04/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820988835
- Enrollment ID: I20140521001586
Medical Identifiers
Medical identifiers for Amy Lynn Hoffman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508870197 | NPI | - | NPPES |
| 114984984 | Medicaid | MI | |
| AH014274 | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | O2823 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 02003951A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 5101014274 (Michigan) | 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 Lynn Hoffman allows following entities to bill medicare on her behalf.
| Entity Name | Cep America Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285103671
PECOS PAC ID: 6608056171
Enrollment ID: O20190214000611 |
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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 Lynn Hoffman 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 |
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Amy Lynn Hoffman, DO
Po Box 673755,
Detroit, MI 48267-3755
Ph: (866) 898-7139 | Amy Lynn Hoffman, DO
1309 Sheldon Rd,
Grand Haven, MI 49417-2404
Ph: (866) 898-7139 |
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