Mrs Amanda Flores, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in St Petersburg, Florida. Her current practice location is
501 6th Ave S, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 767-4181.
Mrs Amanda Flores is licensed to practice in Florida (license number APRN9337772) 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 1649748880.
Physician's Profile
| Full Name | Mrs Amanda Flores |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 501 6th Ave S, St Petersburg, Florida |
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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: 1649748880
- Provider Enumeration Date: 11/06/2018
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719222769
- Enrollment ID: I20181219000323
Medical Identifiers
Medical identifiers for Mrs Amanda Flores such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649748880 | NPI | - | NPPES |
| 101481400 | Medicaid | FL | |
| VHC51 | Other | FL | BLUE CROSS BLUE SHIELD |
| KM240 | Other | FL | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080P0210X | Pediatrics - Pediatric Nephrology | APRN9337772 (Florida) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN9337772 (Florida) | 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. Mrs Amanda Flores allows following entities to bill medicare on her behalf.
| Entity Name | University Medical Service Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992742324
PECOS PAC ID: 6800790221
Enrollment ID: O20031126000130 |
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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. Mrs Amanda Flores 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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Mrs Amanda Flores, APRN
501 6th Ave S,
Saint Petersburg, FL 33701-4634
Ph: () - | Mrs Amanda Flores, APRN
501 6th Ave S,
St Petersburg, FL 33701-4634
Ph: (727) 767-4181 |
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