Mrs Amanda L Wiltshire, AGNP-C is a medicare enrolled "Nurse Practitioner" physician in Southaven, Mississippi. Her current practice location is
401 Southcrest Cir Ste 212, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 245-5270.
Mrs Amanda L Wiltshire is licensed to practice in Mississippi (license number 903415) 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 1437711991.
Physician's Profile
Full Name | Mrs Amanda L Wiltshire |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 401 Southcrest Cir Ste 212, Southaven, Mississippi |
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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: 1437711991
- Provider Enumeration Date: 07/05/2019
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395075428
- Enrollment ID: I20191002002774
Medical Identifiers
Medical identifiers for Mrs Amanda L Wiltshire such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437711991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 903415 (Mississippi) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 903415 (Mississippi) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 903415 (Mississippi) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 903415 (Mississippi) | Secondary |
363L00000X | Nurse Practitioner | 903415 (Mississippi) | 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 L Wiltshire allows following entities to bill medicare on her behalf.
Entity Name | Joseph S Messina Jr Md |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891912226 PECOS PAC ID: 7719949684 Enrollment ID: O20041102000993 |
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Entity Name | Wound Care Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568793750 PECOS PAC ID: 0840314548 Enrollment ID: O20160920000827 |
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Entity Name | Truhealth, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20200923002569 |
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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 L Wiltshire 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 |
Mrs Amanda L Wiltshire, AGNP-C 401 Southcrest Cir Ste 212, Southaven, MS 38671-6721 Ph: (662) 245-5270 | Mrs Amanda L Wiltshire, AGNP-C 401 Southcrest Cir Ste 212, Southaven, MS 38671-6721 Ph: (662) 245-5270 |
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