Dr Amanda Jane Bleichner, MD in Carbondale, IL

Dr Amanda Jane Bleichner, MD is a medicare enrolled "Pediatrics" physician in Carbondale, Illinois. Her current practice location is 2601 W Main St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 549-5361.

Dr Amanda Jane Bleichner is licensed to practice in Illinois (license number 036126020) 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 1639339419.

Contact Information

	Dr Amanda Jane Bleichner, MD
	2601 W Main St, Carbondale, IL 62901-1031
	(618) 549-5361
	(618) 351-4878

Map and Direction

Physician's Profile

Full Name	Dr Amanda Jane Bleichner
Gender	Female
Speciality	Pediatrics
Location	2601 W Main St, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639339419
Provider Enumeration Date: 06/14/2008
Last Update Date: 10/20/2020

Medicare PECOS Information:

PECOS PAC ID: 7315131638
Enrollment ID: I20101101000702

Medical Identifiers

Medical identifiers for Dr Amanda Jane Bleichner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639339419	NPI	-	NPPES
036126020	Medicaid	IL
3932056	Other	IL	BCBS
721089	Other	IL	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036126020 (Illinois)	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. Dr Amanda Jane Bleichner allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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. Dr Amanda Jane Bleichner 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
Dr Amanda Jane Bleichner, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: () -	Dr Amanda Jane Bleichner, MD 2601 W Main St, Carbondale, IL 62901-1031 Ph: (618) 549-5361

Reviews and Comments

Pediatrics Doctors in Carbondale, IL

Dr. Kathryn Churling, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128
Dr. Timothy Allotey Pappoe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Dr. Tandy Korte, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Poonam Thakore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Dr. William Chotas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0549
Tamara Buckles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878

Dr Amanda Jane Bleichner, MD - Medicare Pediatrics in Carbondale, IL