Amanda Wisian, LPC, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Wheat Ridge, Colorado. Her current practice location is
10160 W 50th Ave Unit 4, Wheat Ridge, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 669-3470.
Amanda Wisian is licensed to practice in Colorado (license number 0998730) 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 1306190202.
Physician's Profile
| Full Name | Amanda Wisian |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 10160 W 50th Ave Unit 4, Wheat Ridge, Colorado |
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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: 1306190202
- Provider Enumeration Date: 10/31/2012
- Last Update Date: 01/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173974904
- Enrollment ID: I20240105002793
Medical Identifiers
Medical identifiers for Amanda Wisian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306190202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | RN.1659896 (Colorado) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0011133 (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 1659896 (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | RN.1659896 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | 7142009-6004 (Utah) | Secondary |
| 101YP2500X | Counselor - Professional | LH 60290236 (Washington) | Secondary |
| 101YP2500X | Counselor - Professional | 0011133 (Colorado) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0998730 (Colorado) | 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 Wisian allows following entities to bill medicare on her behalf.
| Entity Name | Forte Health And Wellness Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447888797
PECOS PAC ID: 1456782697
Enrollment ID: O20200504001029 |
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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 Wisian 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 Wisian, LPC, PMHNP
8181 E Tufts Ave Ste 560,
Denver, CO 80237-2559
Ph: () - | Amanda Wisian, LPC, PMHNP
10160 W 50th Ave Unit 4,
Wheat Ridge, CO 80033-2339
Ph: (720) 669-3470 |
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