Amanda Kalyca Sprague, PA-C is a medicare enrolled "Physician Assistant" physician in Avondale, Arizona. She went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Denova Collaborative Health, Llc and her current practice location is
235 W Western Ave, Avondale, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 230-7373.
Amanda Kalyca Sprague is licensed to practice in Arizona (license number PA9344) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871146811.
Physician's Profile
| Full Name | Amanda Kalyca Sprague |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 235 W Western Ave, Avondale, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amanda Kalyca Sprague attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2019
NPI Data:
- NPI Number: 1871146811
- Provider Enumeration Date: 07/18/2019
- Last Update Date: 12/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163751306
- Enrollment ID: I20230314000633
Medical Identifiers
Medical identifiers for Amanda Kalyca Sprague such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871146811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207PE0004X | Emergency Medicine - Emergency Medical Services | PA.0005826 (Colorado) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | PA9344 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | PA9344 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Denova Collaborative Health, Llc | 2466437736 | 84 |
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 Kalyca Sprague 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 Kalyca Sprague, PA-C
3101 N Central Ave Ste 550,
Phoenix, AZ 85012-2635
Ph: (602) 230-7373 | Amanda Kalyca Sprague, PA-C
235 W Western Ave,
Avondale, AZ 85323-1848
Ph: (602) 230-7373 |
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