Amanda K Elsome, AGACNP in Medford, OR - Medicare Nurse Practitioner

Amanda K Elsome, AGACNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Medford, Oregon. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 1111 Crater Lake Ave, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 732-5545.

Amanda K Elsome is licensed to practice in Oregon (license number 10003863) 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 1346854759.

Contact Information

	Amanda K Elsome, AGACNP
	1111 Crater Lake Ave, Medford, OR 97504-6241
	(541) 732-5545
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda K Elsome
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1111 Crater Lake Ave, Medford, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda K Elsome graduated from nursing school in 2019

NPI Data:

NPI Number: 1346854759
Provider Enumeration Date: 09/02/2020
Last Update Date: 04/19/2023

Medicare PECOS Information:

PECOS PAC ID: 1456765668
Enrollment ID: I20230424002568

Medical Identifiers

Medical identifiers for Amanda K Elsome such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346854759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	2103 (Nebraska)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	10003863 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Medford Medical Center	Medford, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	5294623245	152

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 K Elsome allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191220002077

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 K Elsome 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 K Elsome, AGACNP Po Box 3158, Portland, OR 97208-3158 Ph: (541) 732-5545	Amanda K Elsome, AGACNP 1111 Crater Lake Ave, Medford, OR 97504-6241 Ph: (541) 732-5545

Reviews and Comments

Nurse Practitioner Nurses in Medford, OR

Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520
Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 State St, Medford, OR 97504 Phone: 541-779-1672
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315
Matthew Filoon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 E Barnett Rd, Medford, OR 97504 Phone: 541-789-4673 Fax: 541-789-2121

Amanda K Elsome, AGACNP - Medicare Nurse Practitioner in Medford, OR