Amanda Larson, in Mt Juliet, TN - Medicare Nurse Practitioner

Amanda Larson, is a medicare enrolled "Nurse Practitioner" in Mt Juliet, Tennessee. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advanced Diagnostic Imaging Pc and her current practice location is 40 W Caldwell St Ste 200, Mt Juliet, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 941-8501.

Amanda Larson is licensed to practice in Tennessee (license number 18969) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053729327.

Contact Information

	Amanda Larson,
	40 W Caldwell St Ste 200, Mt Juliet, TN 37122-3179
	(615) 941-8501
	(615) 941-8102

Map and Direction

Provider's Profile

Full Name	Amanda Larson
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	40 W Caldwell St Ste 200, Mt Juliet, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda Larson graduated from nursing school in 2014

NPI Data:

NPI Number: 1053729327
Provider Enumeration Date: 07/30/2014
Last Update Date: 11/16/2023

Medicare PECOS Information:

PECOS PAC ID: 4082936653
Enrollment ID: I20141210000752

Medical Identifiers

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

Identifier	Type	State	Issuer
1053729327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	160038 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	18969 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	18969 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Diagnostic Imaging Pc	7315848140	547

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 Larson allows following entities to bill medicare on her behalf.

Entity Name	Advanced Diagnostic Imaging Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677

Entity Name	Pain Management Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902804271 PECOS PAC ID: 7012812043 Enrollment ID: O20080530000028

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 Larson 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 Larson, 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018	Amanda Larson, 40 W Caldwell St Ste 200, Mt Juliet, TN 37122-3179 Ph: (615) 941-8501

Reviews and Comments

Nurse Practitioner Nurses in Mt Juliet, TN

Stacy B Brown, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325 Old Pleasant Grove Rd, Mt Juliet, TN 37122 Phone: 629-255-2109 Fax: 629-255-4171
Shauna Bowers, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11853 Lebanon Rd, Mt Juliet, TN 37122 Phone: 615-347-5471
Nathan Marks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 N Mount Juliet Rd Ste 201, Mt Juliet, TN 37122 Phone: 615-758-5672
Mrs. Andrea Mayfield, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Providence Trl, Mt Juliet, TN 37122 Phone: 615-466-0041 Fax: 615-466-0042
Amy E Taylor, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122 Phone: 629-255-2036 Fax: 629-255-4227
Sonya Lavet Butler, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2636 N Mount Juliet Rd, Mt Juliet, TN 37122 Phone: 615-680-0110
Bruce E Mclaughlin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 754 N Mount Juliet Rd, Mt Juliet, TN 37122 Phone: 615-754-2828 Fax: 615-754-2818

Amanda Larson, - Medicare Nurse Practitioner in Mt Juliet, TN