Amanda Liles, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Shalimar, Florida. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lakeview Center Inc and her current practice location is
1 11th Ave Ste C, Shalimar, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 609-1040.
Amanda Liles is licensed to practice in Florida (license number APRN11017500) 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 1679144877.
Provider's Profile
| Full Name | Amanda Liles |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 1 11th Ave Ste C, Shalimar, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amanda Liles graduated from nursing school in 2021
NPI Data:
- NPI Number: 1679144877
- Provider Enumeration Date: 07/08/2021
- Last Update Date: 11/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577957398
- Enrollment ID: I20220221002108
Medical Identifiers
Medical identifiers for Amanda Liles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679144877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11017500 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakeview Center Inc | 3375439904 | 43 |
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 Liles allows following entities to bill medicare on her behalf.
| Entity Name | Lakeview Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316943772
PECOS PAC ID: 3375439904
Enrollment ID: O20040223000324 |
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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 Liles 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 Liles, APRN
Po Box 4418,
Fort Walton Beach, FL 32549-4418
Ph: (502) 290-7331 | Amanda Liles, APRN
1 11th Ave Ste C,
Shalimar, FL 32579-1324
Ph: (850) 609-1040 |
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