Ame Phitwong, ARNP is a medicare enrolled "Dermatology" in Edmonds, Washington. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peacehealth Medical Group and her current practice location is
21727 76th Ave W Ste H, Edmonds, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 672-1333.
Ame Phitwong is licensed to practice in Washington (license number AP60791082) 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 1255858247.
Provider's Profile
| Full Name | Ame Phitwong |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 21727 76th Ave W Ste H, Edmonds, Washington |
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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:
- Ame Phitwong graduated from nursing school in 2017
NPI Data:
- NPI Number: 1255858247
- Provider Enumeration Date: 08/29/2017
- Last Update Date: 02/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 3375819675
- Enrollment ID: I20210616000530
Medical Identifiers
Medical identifiers for Ame Phitwong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255858247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | AP60791082 (Washington) | Secondary |
| 207N00000X | Dermatology | AP60791082 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Peacehealth Medical Group | 9032023270 | 256 |
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. Ame Phitwong allows following entities to bill medicare on her behalf.
| Entity Name | Peacehealth Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447207287
PECOS PAC ID: 9032023270
Enrollment ID: O20031113000097 |
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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. Ame Phitwong 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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Ame Phitwong, ARNP
21727 76th Ave W Ste H,
Edmonds, WA 98026-7549
Ph: (425) 672-1333 | Ame Phitwong, ARNP
21727 76th Ave W Ste H,
Edmonds, WA 98026-7549
Ph: (425) 672-1333 |
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