Edwin Amirianfar, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Elizabethtown, Kentucky. His current practice location is
134 Heartland Dr, Elizabethtown, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 769-3100.
Edwin Amirianfar is licensed to practice in Kentucky (license number 05597) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417416272.
Physician's Profile
Full Name | Edwin Amirianfar |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 134 Heartland Dr, Elizabethtown, Kentucky |
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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: 1417416272
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 07/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587027776
- Enrollment ID: I20230906001932
Medical Identifiers
Medical identifiers for Edwin Amirianfar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417416272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 05597 (Kentucky) | 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. Edwin Amirianfar allows following entities to bill medicare on his behalf.
Entity Name | Edwin Amirianfar Do Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255011672 PECOS PAC ID: 2769845957 Enrollment ID: O20230906001846 |
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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. Edwin Amirianfar 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 |
Edwin Amirianfar, DO 200 W Liberty St Ste 1809, Louisville, KY 40202-2473 Ph: () - | Edwin Amirianfar, DO 134 Heartland Dr, Elizabethtown, KY 42701-2778 Ph: (270) 769-3100 |
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