Miss Amanda Vallen Head, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Covington, Georgia. Her current practice location is
5211 Highway 278 Ne, Covington, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 787-7444.
Miss Amanda Vallen Head is licensed to practice in Georgia (license number RN181771) 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 1629537634.
Physician's Profile
Full Name | Miss Amanda Vallen Head |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Pediatrics |
---|
Location | 5211 Highway 278 Ne, Covington, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629537634
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 04/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446776272
- Enrollment ID: I20250424002545
Medical Identifiers
Medical identifiers for Miss Amanda Vallen Head such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629537634 | NPI | - | NPPES |
RN181771 | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | RN102177 (Georgia) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | RN181771 (Georgia) | Primary |
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. Miss Amanda Vallen Head 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 |
Miss Amanda Vallen Head, CPNP 2041 Burning Bush Ln, Conyers, GA 30094-1120 Ph: (678) 735-0524 | Miss Amanda Vallen Head, CPNP 5211 Highway 278 Ne, Covington, GA 30014-2671 Ph: (770) 787-7444 |
Reviews and Comments