Amanda Katlin Reid, PA is a medicare enrolled "Physician Assistant" physician in Fayetteville, Arkansas. Her current practice location is
3317 N Wimberly Dr, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 521-2752.
Amanda Katlin Reid is licensed to practice in Arkansas (license number PA-993) 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 1295158913.
Physician's Profile
Full Name | Amanda Katlin Reid |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 3317 N Wimberly Dr, Fayetteville, Arkansas |
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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: 1295158913
- Provider Enumeration Date: 01/31/2014
- Last Update Date: 04/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941431480
- Enrollment ID: I20210807000060
Medical Identifiers
Medical identifiers for Amanda Katlin Reid such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295158913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | PA-993 (Arkansas) | Secondary |
363A00000X | Physician Assistant | PA51724 (California) | Secondary |
363A00000X | Physician Assistant | PA-993 (Arkansas) | Primary |
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 Katlin Reid 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 Katlin Reid, PA Po Box 800902, Santa Clarita, CA 91380-0902 Ph: (417) 291-2816 | Amanda Katlin Reid, PA 3317 N Wimberly Dr, Fayetteville, AR 72703-4056 Ph: (479) 521-2752 |
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