Mrs Elise Michelle Amico, RN is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Portland, Maine. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Central Maine Medical Center and her current practice location is
716 Stevens Ave, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 221-4516.
Mrs Elise Michelle Amico is licensed to practice in * (Not Available) (license number ) 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 1376119727.
Provider's Profile
| Full Name | Mrs Elise Michelle Amico |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 3 Years |
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| Location | 716 Stevens Ave, Portland, Maine |
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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:
- Mrs Elise Michelle Amico graduated from nursing school in 2023
NPI Data:
- NPI Number: 1376119727
- Provider Enumeration Date: 05/27/2021
- Last Update Date: 10/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103271960
- Enrollment ID: I20231013001440
Medical Identifiers
Medical identifiers for Mrs Elise Michelle Amico such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376119727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RNA233057 (Maine) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Central Maine Medical Center | 2567379563 | 332 |
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. Mrs Elise Michelle Amico allows following entities to bill medicare on her behalf.
| Entity Name | Central Maine Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689653487
PECOS PAC ID: 2567379563
Enrollment ID: O20040324000441 |
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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. Mrs Elise Michelle Amico 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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Mrs Elise Michelle Amico, RN
23 Westmore Ave,
Cumberland, ME 04021-3054
Ph: (207) 664-4457 | Mrs Elise Michelle Amico, RN
716 Stevens Ave,
Portland, ME 04103-2693
Ph: (207) 221-4516 |
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