Amanda Marie Staley, in Loma Linda, CA - Medicare Nurse Practitioner

Amanda Marie Staley, is a medicare enrolled "Nurse Practitioner - Family" in Loma Linda, California. Her current practice location is 11175 Campus St Ste 11120, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-8291.

Amanda Marie Staley is licensed to practice in California (license number 95011691) 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 1740826601.

Contact Information

	Amanda Marie Staley,
	11175 Campus St Ste 11120, Loma Linda, CA 92350-1700
	(909) 558-8291
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Marie Staley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11175 Campus St Ste 11120, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740826601
Provider Enumeration Date: 11/25/2019
Last Update Date: 11/25/2019

Medicare PECOS Information:

PECOS PAC ID: 3779919758
Enrollment ID: I20200211001682

Medical Identifiers

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

Identifier	Type	State	Issuer
1740826601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95011691 (California)	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 Marie Staley allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Performance Health Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093896862 PECOS PAC ID: 4981646676 Enrollment ID: O20050523001335

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 Marie Staley 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 Marie Staley, 11175 Campus St Ste 11120, Loma Linda, CA 92350-1700 Ph: () -	Amanda Marie Staley, 11175 Campus St Ste 11120, Loma Linda, CA 92350-1700 Ph: (909) 558-8291

Reviews and Comments

Nurse Practitioner Nurses in Loma Linda, CA

Holly Cornejo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
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Miss Christine Eunice Kurunathan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11034 Veach St, Loma Linda, CA 92354 Phone: 909-825-7084 Fax: 909-777-3291
Krista Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Cecille Bernad Ubbaonu, MSN, RN, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11285 Mountain View Ave, 40, Loma Linda, CA 92354 Phone: 909-558-5844 Fax: 909-558-7873
Kristina Pulliam Markey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354 Phone: 909-558-5967
Lauren Trajano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8000

Amanda Marie Staley, - Medicare Nurse Practitioner in Loma Linda, CA