Amanda Christine Brodeur, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Springfield, Missouri. Her current practice location is
1965 S Fremont Ave, Ste 220, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 820-2229.
Amanda Christine Brodeur is licensed to practice in Missouri (license number 2011001799) 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 1528164159.
Physician's Profile
Full Name | Amanda Christine Brodeur |
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Gender | Female |
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Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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Location | 1965 S Fremont Ave, Springfield, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528164159
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 01/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123470689
- Enrollment ID: I20240119002709
Medical Identifiers
Medical identifiers for Amanda Christine Brodeur such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528164159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 2011001799 (Missouri) | Secondary |
207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 2011001799 (Missouri) | 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 Christine Brodeur allows following entities to bill medicare on her behalf.
Entity Name | The Curators Of The University Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
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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 Christine Brodeur 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 |
Amanda Christine Brodeur, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Amanda Christine Brodeur, MD 1965 S Fremont Ave, Ste 220, Springfield, MO 65804-2201 Ph: (417) 820-2229 |
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