Amanda Maddox, - Medicare Nurse Practitioner in Pontiac, IL

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Amanda Maddox, is a medicare enrolled "Nurse Practitioner - Family" in Pontiac, Illinois. Her current practice location is 2500 W Reynolds St, Pontiac, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 842-2828.

Amanda Maddox is licensed to practice in Illinois (license number 209025828) 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 1477286615.

Contact Information

Amanda Maddox,
2500 W Reynolds St,
Pontiac, IL 61764-9774
(815) 842-2828
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Maddox
GenderFemale
SpecialityNurse Practitioner - Family
Location2500 W Reynolds St, Pontiac, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477286615
  • Provider Enumeration Date: 07/06/2022
  • Last Update Date: 09/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5890161665
  • Enrollment ID: I20221019001205

Medical Identifiers

Medical identifiers for Amanda Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477286615NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041.438522 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209025828 (Illinois)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 Maddox allows following entities to bill medicare on her behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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 Maddox 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 Maddox,
2003 Prairie Rose Dr,
Morris, IL 60450-6850

Ph: (815) 641-5829		Amanda Maddox,
2500 W Reynolds St,
Pontiac, IL 61764-9774

Ph: (815) 842-2828

Reviews and Comments


Nurse Practitioner Nurses in Pontiac, IL

Mrs. Deborah L Nielsen, R.N. A.P.N
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2500 W Reynolds St, Pontiac, IL 61764
Phone: 815-844-5343    Fax: 815-844-5715
Cheryle Diana Strother,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 402 N Plum St, Pontiac, IL 61764
Phone: 815-844-4631    Fax: 815-844-1942
Nancy White,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2500 W Reynolds St, Pontiac, IL 61764
Phone: 815-844-5115    Fax: 815-842-2152
Andrea Mclean, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2500 W Reynolds St # 205, Pontiac, IL 61764
Phone: 815-842-4501    
Briana Flori, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 920 W Custer Ave, Pontiac, IL 61764
Phone: 815-942-5790    
Mary Krall,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2500 W Reynolds St, Pontiac, IL 61764
Phone: 815-842-3633    Fax: 815-844-6309
Andrew John Farraher, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2500 W Reynolds St, 208, Pontiac, IL 61764
Phone: 815-844-2001    

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.