Amanda Lavallee, NNP in Los Alamos, NM - Medicare Nurse Practitioner

Amanda Lavallee, NNP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Los Alamos, New Mexico. Her current practice location is 3917 West Rd, Los Alamos, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 661-9228.

Amanda Lavallee is licensed to practice in Texas (license number NP124639) 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 1720148091.

Contact Information

	Amanda Lavallee, NNP
	3917 West Rd, Los Alamos, NM 87544-2275
	(505) 661-9228
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Lavallee
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	3917 West Rd, Los Alamos, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720148091
Provider Enumeration Date: 12/09/2006
Last Update Date: 02/04/2025

Medicare PECOS Information:

PECOS PAC ID: 1557554151
Enrollment ID: I20240425000474

Medical Identifiers

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

Identifier	Type	State	Issuer
1720148091	NPI	-	NPPES
626130284B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	NP124639 (Texas)	Primary
363LN0000X	Nurse Practitioner - Neonatal	2471949 (Idaho)	Secondary

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 Lavallee allows following entities to bill medicare on her behalf.

Entity Name	St Alexius Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146

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 Lavallee 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 Lavallee, NNP 3917 West Rd, Los Alamos, NM 87544-2275 Ph: (214) 456-7000	Amanda Lavallee, NNP 3917 West Rd, Los Alamos, NM 87544-2275 Ph: (505) 661-9228

Reviews and Comments

Nurse Practitioner Nurses in Los Alamos, NM

Angela Marie Minium, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 Central Park Sq, Los Alamos, NM 87544 Phone: 505-662-4798
Laura K Merrigan, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3917 West Rd, Suite A, Los Alamos, NM 87544 Phone: 505-661-8991 Fax: 505-661-8916
Miss Jeanne Malchow, CNM/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3917 West Rd, Suite 250, Los Alamos, NM 87544 Phone: 505-662-4412 Fax: 505-661-6536
Megan Mcguiness, MSN, APRN, PMNHP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2152 37th St Apt B, Los Alamos, NM 87544 Phone: 505-350-2654
Augustina A Abbott, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3917 West Rd Ste A, Los Alamos, NM 87544 Phone: 505-661-8989 Fax: 505-661-8916
Clay Schneider, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3917 West Rd, Los Alamos, NM 87544 Phone: 505-500-8378
Ila Evette Reed, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3917 West Rd, Los Alamos, NM 87544 Phone: 505-353-2375

Amanda Lavallee, NNP - Medicare Nurse Practitioner in Los Alamos, NM