Amanda Caelin Brown, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Winona, Missouri. Her current practice location is
9104 State Highway 19, Winona, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 325-4237.
Amanda Caelin Brown is licensed to practice in Missouri (license number 2013010077) 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 1114438165.
Provider's Profile
| Full Name | Amanda Caelin Brown |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 9104 State Highway 19, Winona, Missouri |
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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: 1114438165
- Provider Enumeration Date: 10/17/2017
- Last Update Date: 10/17/2017
Medicare PECOS Information:
- PECOS PAC ID: 9739445396
- Enrollment ID: I20171114003434
Medical Identifiers
Medical identifiers for Amanda Caelin Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114438165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2013010077 (Missouri) | 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 Caelin Brown allows following entities to bill medicare on her behalf.
| Entity Name | Burton Creek Rural Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720075161
PECOS PAC ID: 4587576244
Enrollment ID: O20050108000031 |
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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. Amanda Caelin Brown 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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Amanda Caelin Brown, NP-C
4595 State Route Ab,
West Plains, MO 65775-7300
Ph: (417) 372-0323 | Amanda Caelin Brown, NP-C
9104 State Highway 19,
Winona, MO 65588-8389
Ph: (573) 325-4237 |
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