Amanda Jane Reilly, APRN is a medicare enrolled "Registered Nurse - Psychiatric/mental Health, Adult" in Brewster, Massachusetts. Her current practice location is
57 Sachemus Trl, Brewster, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 210-5352.
Amanda Jane Reilly is licensed to practice in Massachusetts (license number RN2265481) 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 1417231895.
Provider's Profile
Full Name | Amanda Jane Reilly |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
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Location | 57 Sachemus Trl, Brewster, Massachusetts |
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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: 1417231895
- Provider Enumeration Date: 10/04/2011
- Last Update Date: 04/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456583038
- Enrollment ID: I20140414001028
Medical Identifiers
Medical identifiers for Amanda Jane Reilly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417231895 | NPI | - | NPPES |
1417231895 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | RN2265481 (Massachusetts) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN #004703 (Connecticut) | Secondary |
163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | RN2265481 (Massachusetts) | 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 Jane Reilly allows following entities to bill medicare on her behalf.
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
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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 Jane Reilly 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 Jane Reilly, APRN 57 Sachemus Trl, Brewster, MA 02631-2080 Ph: (413) 210-5352 | Amanda Jane Reilly, APRN 57 Sachemus Trl, Brewster, MA 02631-2080 Ph: (413) 210-5352 |
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