Amanda Evans, MS, RDN, CDE is a medicare enrolled "Dietitian, Registered" provider in Charlevoix, Michigan. Her current practice location is
09210 North Pointe Woods Drive, Charlevoix, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 237-8100.
Amanda Evans is licensed to practice in Michigan (license number 979467) 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 1215587498.
Healthcare Provider's Profile
| Full Name | Amanda Evans |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 09210 North Pointe Woods Drive, Charlevoix, Michigan |
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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: 1215587498
- Provider Enumeration Date: 09/18/2019
- Last Update Date: 07/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 4789015520
- Enrollment ID: I20200512002416
Medical Identifiers
Medical identifiers for Amanda Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215587498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 979467 (Michigan) | 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 Evans allows following entities to bill medicare on her behalf.
| Provider Name | Amanda Evans Nutrition Consulting, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003449794
PECOS PAC ID: 2961833702
Enrollment ID: O20200512002304 |
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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 Evans 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 Evans, MS, RDN, CDE
09210 North Pointe Woods Drive,
Charlevoix, MI 49720
Ph: (231) 237-8100 | Amanda Evans, MS, RDN, CDE
09210 North Pointe Woods Drive,
Charlevoix, MI 49720
Ph: (231) 237-8100 |
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