Dr Amy A Halio, MD is a medicare enrolled "Pediatrics" physician in San Lorenzo, California. Her current practice location is
50 E. Lewelling Blvd, Rm S-5, San Lorenzo, California. You can reach out to her office (for appointments etc.) via phone at
(510) 317-3167.
Dr Amy A Halio is licensed to practice in California (license number G57684) 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 1780699538.
Physician's Profile
| Full Name | Dr Amy A Halio |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 50 E. Lewelling Blvd, San Lorenzo, California |
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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: 1780699538
- Provider Enumeration Date: 07/30/2006
- Last Update Date: 08/23/2013
Medicare PECOS Information:
- PECOS PAC ID: 0446486187
- Enrollment ID: I20190215002116
Medical Identifiers
Medical identifiers for Dr Amy A Halio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780699538 | NPI | - | NPPES |
| HSP40611F | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | G57684 (California) | 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. Dr Amy A Halio allows following entities to bill medicare on her behalf.
| Entity Name | La Clinica De La Raza Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144336181
PECOS PAC ID: 1557258282
Enrollment ID: O20040227001016 |
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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 Amy A Halio 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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Dr Amy A Halio, MD
P.o. Box 22210,
Oakland, CA 94623-2210
Ph: (510) 535-4000 | Dr Amy A Halio, MD
50 E. Lewelling Blvd, Rm S-5,
San Lorenzo, CA 94580-1732
Ph: (510) 317-3167 |
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