Mrs Amanda Michelle Wipfli, is a medicare enrolled "Nurse Practitioner - Family" physician in Taylor, Texas. Her current practice location is
403 Mallard Ln, Taylor, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 352-4000.
Mrs Amanda Michelle Wipfli is licensed to practice in Texas (license number 1087017) 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 1629718028.
Physician's Profile
Full Name | Mrs Amanda Michelle Wipfli |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 403 Mallard Ln, Taylor, Texas |
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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: 1629718028
- Provider Enumeration Date: 04/01/2022
- Last Update Date: 10/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921483744
- Enrollment ID: I20220915000368
Medical Identifiers
Medical identifiers for Mrs Amanda Michelle Wipfli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629718028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1087017 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1087017 (Texas) | 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 Michelle Wipfli allows following entities to bill medicare on her behalf.
Entity Name | Scott & White Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
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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 Michelle Wipfli 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 Michelle Wipfli, Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Mrs Amanda Michelle Wipfli, 403 Mallard Ln, Taylor, TX 76574-1210 Ph: (512) 352-4000 |
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