Amanda J Davis, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Moulton, Iowa. Her current practice location is
29516 535th St, Moulton, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 680-6350.
Amanda J Davis is licensed to practice in Iowa (license number H168626) 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 1861136897.
Provider's Profile
Full Name | Amanda J Davis |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 29516 535th St, Moulton, Iowa |
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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: 1861136897
- Provider Enumeration Date: 04/26/2022
- Last Update Date: 04/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779953773
- Enrollment ID: I20230109002485
Medical Identifiers
Medical identifiers for Amanda J Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861136897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | H168626 (Iowa) | 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 Davis allows following entities to bill medicare on her behalf.
Entity Name | Ottumwa Health Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386956290 PECOS PAC ID: 3971629924 Enrollment ID: O20100927001257 |
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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 Davis 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 Davis, ARNP 29516 535th St, Moulton, IA 52572-8510 Ph: (641) 680-6350 | Amanda J Davis, ARNP 29516 535th St, Moulton, IA 52572-8510 Ph: (641) 680-6350 |
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