Amber Fawn Adams, MSN, APRN-CNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Jonesboro, Arkansas. Her current practice location is
3637 E Johnson Ave Ste B, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(877) 522-1275.
Amber Fawn Adams is licensed to practice in Arkansas (license number 122223) 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 1962789826.
Physician's Profile
Full Name | Amber Fawn Adams |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3637 E Johnson Ave Ste B, Jonesboro, Arkansas |
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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: 1962789826
- Provider Enumeration Date: 11/07/2011
- Last Update Date: 09/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 9830571504
- Enrollment ID: I20220728001349
Medical Identifiers
Medical identifiers for Amber Fawn Adams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962789826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 122223 (Arkansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 122223 (Arkansas) | 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. Amber Fawn Adams allows following entities to bill medicare on her behalf.
Entity Name | Diffine Family Practice Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962707158 PECOS PAC ID: 4486836657 Enrollment ID: O20110309000298 |
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Entity Name | Ideal Telemedicine Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20200311000756 |
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Entity Name | A Time For Peace Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912392549 PECOS PAC ID: 1850627415 Enrollment ID: O20200901000136 |
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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. Amber Fawn Adams 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 |
Amber Fawn Adams, MSN, APRN-CNP, FNP-C 5615 Dunbarton Ave, Pasco, WA 99301-8216 Ph: (509) 222-1275 | Amber Fawn Adams, MSN, APRN-CNP, FNP-C 3637 E Johnson Ave Ste B, Jonesboro, AR 72405-1808 Ph: (877) 522-1275 |
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