Amanda Combs, is a medicare enrolled "Nurse Practitioner - Gerontology" in Pocola, Oklahoma. Her current practice location is
202 Beam Ln, Pocola, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(479) 926-0332.
Amanda Combs is licensed to practice in Arkansas (license number A004509) 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 1053787283.
Provider's Profile
| Full Name | Amanda Combs |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 202 Beam Ln, Pocola, Oklahoma |
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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: 1053787283
- Provider Enumeration Date: 08/11/2015
- Last Update Date: 08/11/2015
Medicare PECOS Information:
- PECOS PAC ID: 0244548444
- Enrollment ID: I20231023000834
Medical Identifiers
Medical identifiers for Amanda Combs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053787283 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LG0600X | Nurse Practitioner - Gerontology | A004509 (Arkansas) | 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 Combs allows following entities to bill medicare on her behalf.
| Entity Name | Cherokee Nation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780692723
PECOS PAC ID: 5799698742
Enrollment ID: O20031106000628 |
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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 Combs 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 |
|---|
Amanda Combs,
202 Beam Ln,
Pocola, OK 74902-2463
Ph: (479) 926-0332 | Amanda Combs,
202 Beam Ln,
Pocola, OK 74902-2463
Ph: (479) 926-0332 |
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