Amy Ls Mefford, CNM MS is a medicare enrolled "Advanced Practice Midwife" in Galesburg, Illinois. Her current practice location is
834 N Seminary St, Ste 402, Galesburg, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 343-5117.
Amy Ls Mefford is licensed to practice in Illinois (license number ) 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 1164416012.
Provider's Profile
| Full Name | Amy Ls Mefford |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 834 N Seminary St, Galesburg, Illinois |
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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: 1164416012
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5092037499
- Enrollment ID: I20141212001508
Medical Identifiers
Medical identifiers for Amy Ls Mefford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164416012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367A00000X | Advanced Practice Midwife | (Illinois) | 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. Amy Ls Mefford allows following entities to bill medicare on her behalf.
| Entity Name | Osf Healthcare System |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
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| Entity Name | Osf Multi-specialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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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 Ls Mefford 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 |
Amy Ls Mefford, CNM MS 834 N Seminary St, Ste 402, Galesburg, IL 61401-2852 Ph: (309) 343-5117 | Amy Ls Mefford, CNM MS 834 N Seminary St, Ste 402, Galesburg, IL 61401-2852 Ph: (309) 343-5117 |
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