Amanda Davis Dorn, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Orlando, Florida. Her current practice location is
235 E Princeton St Ste 200, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 303-1444.
Amanda Davis Dorn is licensed to practice in Florida (license number UO8854) 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 1982164810.
Physician's Profile
Full Name | Amanda Davis Dorn |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 235 E Princeton St Ste 200, Orlando, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982164810
- Provider Enumeration Date: 03/25/2019
- Last Update Date: 05/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810229648
- Enrollment ID: I20210618000340
Medical Identifiers
Medical identifiers for Amanda Davis Dorn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982164810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | DOS-2293 (Hawaii) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | UO8854 (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 Davis Dorn allows following entities to bill medicare on her behalf.
Entity Name | Anmed Health |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1639102270 PECOS PAC ID: 1951215243 Enrollment ID: O20040130000302 |
---|
Entity Name | Anmed Health |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1164746392 PECOS PAC ID: 1951215243 Enrollment ID: O20040315000478 |
---|
Entity Name | Anmed Health |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1427005727 PECOS PAC ID: 1951215243 Enrollment ID: O20040723000885 |
---|
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 Davis Dorn 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 Davis Dorn, DO 1010 Pensacola St, Honolulu, HI 96814-2118 Ph: (808) 432-2000 | Amanda Davis Dorn, DO 235 E Princeton St Ste 200, Orlando, FL 32804-5555 Ph: (407) 303-1444 |
Reviews and Comments