AMANDA JAYNE DVORSCAK D.O. - NPI 1962663187

Q: What is Amanda Dvorscak's NPI number?

The NPI number for Amanda Dvorscak is 1962663187. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Q: What is Amanda Dvorscak's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Dvorscak was last updated on February 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amanda Jayne Dvorscak D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA JAYNE DVORSCAK D.O. (NPI 1962663187) is an individual pediatrics provider in Latham, New York, licensed in New York (260494) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962663187

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameAMANDA JAYNE DVORSCAKCredential: D.O.

Location Address6 WELLNESS WAY STE 102Latham, NY 12110-2156

Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700 · Fax (518) 782-3799

Phone(518) 713-2099

Fax(518) 783-7506

Sole ProprietorNo

Enumeration DateJune 19, 2008

Last NPPES UpdateFebruary 8, 2024

NPPES CertifiedFebruary 8, 2024

✔ NPI 1962663187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 260494

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6 WELLNESS WAY STE 102, Latham, NY 12110

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Other Identifiers 1

Medicaid03353862NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Jayne Dvorscak D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUNTER R MACDONALD DO

Pediatrics