Amanda Jon Mcnally Yatabe, ARNP is a medicare enrolled "Nurse Practitioner" provider in Orlando, Florida. Her current practice location is
5151 Adanson St Ste 108, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 875-3700.
Amanda Jon Mcnally Yatabe is licensed to practice in Florida (license number 11011170) 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 1316537756.
Healthcare Provider's Profile
| Full Name | Amanda Jon Mcnally Yatabe |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 5151 Adanson St Ste 108, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316537756
- Provider Enumeration Date: 01/20/2021
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789079906
- Enrollment ID: I20220324001263
Medical Identifiers
Medical identifiers for Amanda Jon Mcnally Yatabe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316537756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | APRN11011170 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | 11011170 (Florida) | 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. Amanda Jon Mcnally Yatabe allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Centers, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134258684
PECOS PAC ID: 4082515390
Enrollment ID: O20040120000172 |
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| Entity Name | Aspire Health Partners, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821033903
PECOS PAC ID: 8325936446
Enrollment ID: O20040309000953 |
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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. Amanda Jon Mcnally Yatabe 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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Amanda Jon Mcnally Yatabe, ARNP
400 E Sheridan Rd,
Melbourne, FL 32901-3184
Ph: (321) 722-5200 | Amanda Jon Mcnally Yatabe, ARNP
5151 Adanson St Ste 108,
Orlando, FL 32804-1317
Ph: (407) 875-3700 |
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