Amanda Lynn Fisher, ARNP, DNP-FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bow, Washington. Her current practice location is
9451 Charity Ln, Bow, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 708-4191.
Amanda Lynn Fisher is licensed to practice in Washington (license number AP61087679) 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 1073131918.
Provider's Profile
Full Name | Amanda Lynn Fisher |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 9451 Charity Ln, Bow, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073131918
- Provider Enumeration Date: 07/08/2020
- Last Update Date: 08/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 5698192532
- Enrollment ID: I20200824003156
Medical Identifiers
Medical identifiers for Amanda Lynn Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073131918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN60378409 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP61087679 (Washington) | 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 Lynn Fisher allows following entities to bill medicare on her behalf.
Entity Name | Novari Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598272155 PECOS PAC ID: 3476815051 Enrollment ID: O20180319002305 |
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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 Lynn Fisher 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 Lynn Fisher, ARNP, DNP-FNP-C 9451 Charity Ln, Bow, WA 98232-9771 Ph: (360) 708-4191 | Amanda Lynn Fisher, ARNP, DNP-FNP-C 9451 Charity Ln, Bow, WA 98232-9771 Ph: (360) 708-4191 |
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