Amanda Le Booth, MD is a medicare enrolled "Family Medicine" physician in Lee's Summit, Missouri. Her current practice location is
760 Nw Blue Parkway, Lee's Summit, Missouri. You can reach out to her office (for appointments etc.) via phone at
(913) 297-7472.
Amanda Le Booth is licensed to practice in Missouri (license number 2018024915) 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 1750763389.
Physician's Profile
| Full Name | Amanda Le Booth |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 760 Nw Blue Parkway, Lee's Summit, Missouri |
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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: 1750763389
- Provider Enumeration Date: 06/19/2015
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608189824
- Enrollment ID: I20150717000168
Medical Identifiers
Medical identifiers for Amanda Le Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750763389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 11018226A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 0441255 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | 2018024915 (Missouri) | 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 Le Booth 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 Le Booth, MD
16801 Haskins St,
Overland Park, KS 66221-7143
Ph: (309) 825-7974 | Amanda Le Booth, MD
760 Nw Blue Parkway,
Lee's Summit, MO 64086-5713
Ph: (913) 297-7472 |
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