Dr Amanda Jo Bush, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Belvidere, Illinois. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice University Of Texas Southwestern Medical Center and her current practice location is
1700 Henry Luckow Ln, Belvidere, Illinois. You can reach out to her office (for appointments etc.) via phone at
(779) 696-8650.
Dr Amanda Jo Bush is licensed to practice in Texas (license number N3526) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093950941.
Physician's Profile
Full Name | Dr Amanda Jo Bush |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 15 Years |
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Location | 1700 Henry Luckow Ln, Belvidere, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Amanda Jo Bush graduated from medical school in 2009
NPI Data:
- NPI Number: 1093950941
- Provider Enumeration Date: 12/06/2008
- Last Update Date: 01/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941496855
- Enrollment ID: I20210504001966
Medical Identifiers
Medical identifiers for Dr Amanda Jo Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093950941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | N3526 (Texas) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | MB0755263A (Massachusetts) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 036.125964 (Illinois) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | N3526 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Of Texas Southwestern Medical Center | 0648188250 | 2569 |
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 Jo Bush allows following entities to bill medicare on her behalf.
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
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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. Dr Amanda Jo Bush 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 Jo Bush, MD Po Box 78866 Swedishamerican Medical Group, Milwaukee, WI 53278-8866 Ph: (779) 696-7150 | Dr Amanda Jo Bush, MD 1700 Henry Luckow Ln, Belvidere, IL 61008 Ph: (779) 696-8650 |
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