Amanda Kay Kenney, MSN, FNP-C, ARNP is a medicare enrolled "Nurse Practitioner - Family" in De Witt, Iowa. Her current practice location is
1008 11th St, De Witt, Iowa. You can reach out to her office (for appointments etc.) via phone at
(563) 659-9137.
Amanda Kay Kenney is licensed to practice in Iowa (license number A167660) 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 1407501513.
Provider's Profile
| Full Name | Amanda Kay Kenney |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1008 11th St, De Witt, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407501513
- Provider Enumeration Date: 02/16/2022
- Last Update Date: 01/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658768619
- Enrollment ID: I20220422000551
Medical Identifiers
Medical identifiers for Amanda Kay Kenney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407501513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | A167660 (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 Kay Kenney allows following entities to bill medicare on her behalf.
| Entity Name | Genesis Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477654945
PECOS PAC ID: 7214841436
Enrollment ID: O20031113000044 |
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| Entity Name | Genesis Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649368523
PECOS PAC ID: 7214841436
Enrollment ID: O20080613000409 |
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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 Kay Kenney 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 |
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Amanda Kay Kenney, MSN, FNP-C, ARNP
5100 11th Avenue C,
Moline, IL 61265-2819
Ph: (309) 221-2553 | Amanda Kay Kenney, MSN, FNP-C, ARNP
1008 11th St,
De Witt, IA 52742-1210
Ph: (563) 659-9137 |
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