Amanda Dahlgren, FNP-C - Medicare Nurse Practitioner in Sanford, ME

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Amanda Dahlgren, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sanford, Maine. Her current practice location is 1420 Main St, Sanford, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 850-5744.

Amanda Dahlgren is licensed to practice in Maine (license number CNP231098) 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 1720693138.

Contact Information

Amanda Dahlgren, FNP-C
1420 Main St,
Sanford, ME 04073-3680
(207) 850-5744
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Dahlgren
GenderFemale
SpecialityNurse Practitioner - Family
Location1420 Main St, Sanford, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720693138
  • Provider Enumeration Date: 09/11/2020
  • Last Update Date: 11/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284008954
  • Enrollment ID: I20230320001589

Medical Identifiers

Medical identifiers for Amanda Dahlgren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720693138NPI-NPPES
RN72395OtherMEMAINE STATE BOARD OF NURSING
090946-23OtherNHSTATE OF NEW HAMPSHIRE BOARD OF NURSING
CNP231098OtherMEMAINE STATE BOARD OF NURSING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 090946-23 (New Hampshire)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family CNP231098 (Maine)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 Dahlgren allows following entities to bill medicare on her behalf.
Entity NameConvenientmd Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710402359
PECOS PAC ID: 2062667033
Enrollment ID: O20180220000535
Entity NameConvenientmd - Ffs Uc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780375220
PECOS PAC ID: 5193186492
Enrollment ID: O20230803000124

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 Dahlgren 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 Dahlgren, FNP-C
360 Us Highway 1 Byp Unit 102,
Portsmouth, NH 03801-7105

Ph: (603) 410-6700		Amanda Dahlgren, FNP-C
1420 Main St,
Sanford, ME 04073-3680

Ph: (207) 850-5744

Reviews and Comments


Nurse Practitioner Nurses in Sanford, ME

Ms. Micralyn Denee Wiechman, APRN, FNP-C, ENP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25a June St, Sanford, ME 04073
Phone: 207-490-7900    
Caren Kachoris, NP
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Practice Location: 866 Main St, Sanford, ME 04073
Phone: 207-324-9385    
Cara Lavertu, NP
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Practice Location: 25a June St Ste 111, Sanford, ME 04073
Phone: 207-490-7998    
Miranda Corrine Kierstead, PMHNP-BC
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Medicare: Medicare Enrolled
Practice Location: 863 Main St, Sanford, ME 04073
Phone: 800-434-3000    
Mr. Seth A Brooker, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25a June St Ste 11, Sanford, ME 04073
Phone: 207-490-7900    
Stacy L Diperna, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25 June St, Sanford, ME 04073
Phone: 207-324-4310    Fax: 207-324-4310
Brooke Butterfield,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25a June St, Sanford, ME 04073
Phone: 207-490-7900    

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.