Dr Isidro A Amigo, DO is a
Surgery physician based in Grafton, West Virginia. Dr Isidro A Amigo is licensed to practice in West Virginia (license number 1181) and his current practice location is 8 Rose St, Grafton, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 265-0095.
NPI number for Dr Isidro A Amigo is 1821049339 and his current mailing address is Po Box 42738, Towson, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821049339.
Physician's Profile
| Full Name | Dr Isidro A Amigo |
|---|
| Gender | Male |
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| Speciality | Surgery |
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| Location | 8 Rose St, Grafton, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821049339
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 04/07/2016
Medical Identifiers
Medical identifiers for Dr Isidro A Amigo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821049339 | NPI | - | NPPES |
| 0128645000 | Medicaid | WV | |
| 0551675 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 34002976 (Ohio) | Secondary |
| 208600000X | Surgery | 1181 (West Virginia) | Primary |
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 Isidro A Amigo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Isidro A Amigo, DO
Po Box 42738,
Towson, MD 21284-2738
Ph: (844) 468-9502 | Dr Isidro A Amigo, DO
8 Rose St,
Grafton, WV 26354-1678
Ph: (304) 265-0095 |
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