Amanda Reno, DO is a medicare enrolled "Pediatrics" physician in Stansbury Park, Utah. Her current practice location is
220 Millpond Ste 100, Stansbury Park, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 843-3000.
Amanda Reno is licensed to practice in Alabama (license number DO.2126) 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 1669978623.
Physician's Profile
Full Name | Amanda Reno |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 220 Millpond Ste 100, Stansbury Park, Utah |
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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: 1669978623
- Provider Enumeration Date: 03/30/2018
- Last Update Date: 11/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486908514
- Enrollment ID: I20210611001275
Medical Identifiers
Medical identifiers for Amanda Reno such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669978623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | DO.2126 (Alabama) | 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 Reno allows following entities to bill medicare on her behalf.
Entity Name | University Of Utah Community Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
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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 Reno 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 Reno, DO 220 Millpond Ste 100, Stansbury Pk, UT 84074-9760 Ph: (435) 843-3000 | Amanda Reno, DO 220 Millpond Ste 100, Stansbury Park, UT 84074-9760 Ph: (435) 843-3000 |
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