Amanda Leigh Perry, AG-ACNP - Medicare Nurse Practitioner in Saint Marys, OH

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Amanda Leigh Perry, AG-ACNP is a medicare enrolled "Nurse Practitioner" in Saint Marys, Ohio. Her current practice location is 1140 S Knoxville Ave Ste C, Saint Marys, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 394-9595.

Amanda Leigh Perry is licensed to practice in Ohio (license number APRN.CNP.0034318) 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 1265116610.

Contact Information

Amanda Leigh Perry, AG-ACNP
1140 S Knoxville Ave Ste C,
Saint Marys, OH 45885-2609
(419) 394-9595
(419) 394-9532

Map and Direction




Provider's Profile

Full NameAmanda Leigh Perry
GenderFemale
SpecialityNurse Practitioner
Location1140 S Knoxville Ave Ste C, Saint Marys, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265116610
  • Provider Enumeration Date: 06/14/2023
  • Last Update Date: 07/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355703729
  • Enrollment ID: I20230816003735

Medical Identifiers

Medical identifiers for Amanda Leigh Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265116610NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN.CNP.0034318 (Ohio)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 Leigh Perry allows following entities to bill medicare on her behalf.
Entity NameJtdm Family Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184652539
PECOS PAC ID: 2163415837
Enrollment ID: O20040407000863

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 Leigh Perry 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 AddressPractice Location Address
Amanda Leigh Perry, AG-ACNP
1140 S Knoxville Ave Ste D,
Saint Marys, OH 45885-2609

Ph: (419) 300-1129		Amanda Leigh Perry, AG-ACNP
1140 S Knoxville Ave Ste C,
Saint Marys, OH 45885-2609

Ph: (419) 394-9595

Reviews and Comments


Nurse Practitioner Nurses in Saint Marys, OH

Alex Michael Rowen,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 Saint Clair Ave, Saint Marys, OH 45885
Phone: 419-394-3335    
Jacqueline S Shriver, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1140 S Knoxville Ave Ste B, Saint Marys, OH 45885
Phone: 419-394-7314    Fax: 419-394-7313
Kimberly Lynn Sadler, APRN CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1050 East Greenville Rd, Saint Marys, OH 45885
Phone: 419-394-3331    Fax: 419-394-3330
Brittany Faye Schlarman, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1140 S Knoxville Ave Ste C, Saint Marys, OH 45885
Phone: 419-394-9595    Fax: 419-394-9532
Jayaben D Patel, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885
Phone: 419-394-9959    Fax: 419-394-0255
Mrs. Kimberly Wiener, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 Saint Clair Ave, Saint Marys, OH 45885
Phone: 419-890-7970    Fax: 419-394-9556

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.