Amanda M Johns, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Blacksburg, Virginia. Her current practice location is
3700 S Main St, Blacksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 953-5445.
Amanda M Johns is licensed to practice in * (Not Available) (license number ) 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 1679035091.
Physician's Profile
Full Name | Amanda M Johns |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3700 S Main St, Blacksburg, Virginia |
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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: 1679035091
- Provider Enumeration Date: 04/03/2019
- Last Update Date: 05/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951630946
- Enrollment ID: I20230817002021
Medical Identifiers
Medical identifiers for Amanda M Johns such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679035091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | TP500 (Kentucky) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 M Johns allows following entities to bill medicare on her behalf.
Entity Name | Modern Dermatology Of Kentucky Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699382507 PECOS PAC ID: 5496166308 Enrollment ID: O20201125001868 |
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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 M Johns 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 M Johns, 3700 S Main St, Blacksburg, VA 24060-7081 Ph: () - | Amanda M Johns, 3700 S Main St, Blacksburg, VA 24060-7081 Ph: (540) 953-5445 |
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