Amanda Jene Wirth, APRN in Lakeland, FL - Medicare Nurse Practitioner

Amanda Jene Wirth, APRN is a medicare enrolled "Nurse Practitioner - Women's Health" in Lakeland, Florida. Her current practice location is 215 Imperial Blvd Ste B2, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 684-2229.

Amanda Jene Wirth is licensed to practice in Florida (license number APRN9482070) 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 1619370053.

Contact Information

	Amanda Jene Wirth, APRN
	215 Imperial Blvd Ste B2, Lakeland, FL 33803-4689
	(813) 684-2229
	(813) 413-8507

Map and Direction

Provider's Profile

Full Name	Amanda Jene Wirth
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	215 Imperial Blvd Ste B2, Lakeland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619370053
Provider Enumeration Date: 09/30/2014
Last Update Date: 01/20/2021

Medicare PECOS Information:

PECOS PAC ID: 5294084968
Enrollment ID: I20180814003451

Medical Identifiers

Medical identifiers for Amanda Jene Wirth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619370053	NPI	-	NPPES
024693700	Medicaid	FL
0111806	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	16289 (Ohio)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	APRN9482070 (Florida)	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 Jene Wirth allows following entities to bill medicare on her behalf.

Entity Name	Florida Department Of Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396732541 PECOS PAC ID: 3072424282 Enrollment ID: O20100517000771

Entity Name	Florida Hospital Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600

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 Jene Wirth 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 Jene Wirth, APRN 215 Imperial Blvd Ste B2, Lakeland, FL 33803-4689 Ph: (813) 684-2229	Amanda Jene Wirth, APRN 215 Imperial Blvd Ste B2, Lakeland, FL 33803-4689 Ph: (813) 684-2229

Reviews and Comments

Nurse Practitioner Nurses in Lakeland, FL

Adelene Soto, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 930 Marcum Rd, Lakeland, FL 33809 Phone: 863-815-3775 Fax: 863-815-3765
Ana Lymaries Velez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4715 S Florida Ave Ste 200, Lakeland, FL 33813 Phone: 863-209-7004 Fax: 863-607-3881
Jennifer Frasier, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-607-9776
Cheza Marie Wilkinson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7490 Fax: 866-264-8519
Andrea Beale, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-284-5020 Fax: 384-284-5387
Reanna Maxwell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2024 Edgewood Dr S, Lakeland, FL 33803 Phone: 863-232-4323 Fax: 863-337-5728
Anjali Nair, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519

Amanda Jene Wirth, APRN - Medicare Nurse Practitioner in Lakeland, FL