Amelia Flick, MD
Individual provider Active NPI Anesthesiology Physician · Otwell, IN
NPI 1053774653 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1053774653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 01081655B (IN)
- Practice address
- 8308 W 560N
Otwell, IN 47564-9602 - Phone
- (317) 338-6399
- NPI assigned
- Mar 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Indiana University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivory Coast Anesthesia Management LLC
Practice addresses (Care Compare)
800 W 9TH St
Memorial Hospital and Health Care
Jasper, IN 47546-2514
Phone (812) 996-2345
Hospital & facility affiliations
- Memorial Hospital and Health Care Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.79 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.69
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200710003044 | IN | Practitioner - Anesthesiology | 6800186305 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01081655B | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivory Coast Anesthesia Management LLC | Anesthesiology | Current |
Accepting new patients |
Locations
600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345
600 W 13th St
Jasper, IN 47546
Phone (812) 482-7441
800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01081655B | IN | Yes |
Addresses
Primary practice location
8308 W 560N
Otwell, IN 47564-9602
Mailing address
8308 W 560N
Otwell, IN 47564-9602
Other providers in Otwell, IN
All providers in Otwell, IN · Anesthesiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.