Amy Sudol, is a medicare enrolled "Internal Medicine" physician in Montgomery, Pennsylvania. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Susquehanna Physician Services, Phoenix Rehabilitation And Health Services Inc, H2 Rehabilitation Extension Services Llc and her current practice location is
45 Park Drive, Route 405, Montgomery, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 546-4062.
Amy Sudol is licensed to practice in Pennsylvania (license number MD478986) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811450604.
Physician's Profile
| Full Name | Amy Sudol |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 6 Years |
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| Location | 45 Park Drive, Montgomery, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amy Sudol graduated from medical school in 2019
NPI Data:
- NPI Number: 1811450604
- Provider Enumeration Date: 04/09/2019
- Last Update Date: 01/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264803535
- Enrollment ID: I20230124002241
Medical Identifiers
Medical identifiers for Amy Sudol such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811450604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD478986 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Susquehanna Physician Services | 2264336460 | 510 |
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| H2 Rehabilitation Extension Services Llc | 6406131622 | 100 |
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 Sudol allows following entities to bill medicare on her behalf.
| Entity Name | Susquehanna Physician Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023065885
PECOS PAC ID: 2264336460
Enrollment ID: O20040415000779 |
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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 Sudol 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 Sudol,
1201 Grampian Blvd,
Williamsport, PA 17701-1900
Ph: (888) 647-9600 | Amy Sudol,
45 Park Drive, Route 405,
Montgomery, PA 17752-8533
Ph: (570) 546-4062 |
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