Amanda Lynn Nold, PA-C is a medicare enrolled "Physician Assistant" physician in Selmer, Tennessee. Her current practice location is
270 E Court Ave, Selmer, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 645-7932.
Amanda Lynn Nold is licensed to practice in Tennessee (license number 5112) 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 1346845096.
Physician's Profile
Full Name | Amanda Lynn Nold |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 270 E Court Ave, Selmer, Tennessee |
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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: 1346845096
- Provider Enumeration Date: 12/01/2020
- Last Update Date: 09/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426461278
- Enrollment ID: I20210115001129
Medical Identifiers
Medical identifiers for Amanda Lynn Nold such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346845096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 1697 (Alabama) | Secondary |
363A00000X | Physician Assistant | 1697 (Alabama) | Secondary |
363A00000X | Physician Assistant | 5112 (Tennessee) | 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 Lynn Nold 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 Lynn Nold, PA-C 37 Wind Tree Cv, Jackson, TN 38305-2974 Ph: (570) 903-4683 | Amanda Lynn Nold, PA-C 270 E Court Ave, Selmer, TN 38375-2304 Ph: (731) 645-7932 |
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