Amanda Bolin, FNP-C - Medicare Nurse Practitioner in Fruitland, ID

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Amanda Bolin, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fruitland, Idaho. Her current practice location is 1118 Nw 16th St Ste D, Fruitland, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 452-7677.

Amanda Bolin is licensed to practice in Idaho (license number 72434) 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 1780328393.

Contact Information

Amanda Bolin, FNP-C
1118 Nw 16th St Ste D,
Fruitland, ID 83619-2272
(208) 452-7677
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Bolin
GenderFemale
SpecialityNurse Practitioner - Family
Location1118 Nw 16th St Ste D, Fruitland, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780328393
  • Provider Enumeration Date: 04/21/2022
  • Last Update Date: 04/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204204779
  • Enrollment ID: I20221115002198

Medical Identifiers

Medical identifiers for Amanda Bolin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780328393NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 72434 (Idaho)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. Amanda Bolin allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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. Amanda Bolin 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 AddressPractice Location Address
Amanda Bolin, FNP-C
1839 Hood Rd,
Vale, OR 97918-5370

Ph: (541) 212-2744		Amanda Bolin, FNP-C
1118 Nw 16th St Ste D,
Fruitland, ID 83619-2272

Ph: (208) 452-7677

Reviews and Comments


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Phone: 208-452-8000    Fax: 208-452-8055
Mrs. Jeanette Hazel Marie Reiners, DNP, FNP
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Practice Location: 910 Nw 16th St, Fruitland, ID 83619
Phone: 208-452-8000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.