Mrs Amanda D Marshburn, NP is a medicare enrolled "Nurse Practitioner - Family" in Richlands, North Carolina. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vidant Medical Group Llc and her current practice location is
8210 Richlands Hwy, Richlands, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 324-7328.
Mrs Amanda D Marshburn is licensed to practice in North Carolina (license number 5008952) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003362765.
Provider's Profile
| Full Name | Mrs Amanda D Marshburn |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 8210 Richlands Hwy, Richlands, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Amanda D Marshburn graduated from nursing school in 2016
NPI Data:
- NPI Number: 1003362765
- Provider Enumeration Date: 08/31/2016
- Last Update Date: 01/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395027593
- Enrollment ID: I20170124001197
Medical Identifiers
Medical identifiers for Mrs Amanda D Marshburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003362765 | NPI | - | NPPES |
| 5008952 | Other | NC | NCBON NP |
| 201339 | Other | NC | NCBON |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 201339 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5008952 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5008952 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Vidant Medical Group Llc | 0345343893 | 850 |
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 D Marshburn allows following entities to bill medicare on her behalf.
| Entity Name | Vidant Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445 |
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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 D Marshburn 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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Mrs Amanda D Marshburn, NP
701 Doctors Dr,
Kinston, NC 28501-1589
Ph: (252) 559-2200 | Mrs Amanda D Marshburn, NP
8210 Richlands Hwy,
Richlands, NC 28574-7198
Ph: (910) 324-7328 |
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