Amanda J Bormann, FNP-C is a medicare enrolled "Family Medicine" in Springfield, Illinois. Her current practice location is
800 E Carpenter St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 544-6464.
Amanda J Bormann is licensed to practice in Illinois (license number 209030192) 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 1770313983.
Provider's Profile
Full Name | Amanda J Bormann |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 800 E Carpenter St, Springfield, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770313983
- Provider Enumeration Date: 08/02/2024
- Last Update Date: 09/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416498886
- Enrollment ID: I20240925002918
Medical Identifiers
Medical identifiers for Amanda J Bormann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770313983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209030192 (Illinois) | Secondary |
207Q00000X | Family Medicine | 209030192 (Illinois) | 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 J Bormann allows following entities to bill medicare on her behalf.
Entity Name | Cepamerica Illinois Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
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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 J Bormann 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 J Bormann, FNP-C 1904 Persimmon Ave, Chatham, IL 62629-1598 Ph: (217) 741-6343 | Amanda J Bormann, FNP-C 800 E Carpenter St, Springfield, IL 62702-5324 Ph: (217) 544-6464 |
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