| Amanda Mcdonald, | |
|
Blanchfield Army Community Hospital, Fort Campbell, KY 42223 | |
| (270) 412-3112 | |
| Not Available |
| Full Name | Amanda Mcdonald |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | Blanchfield Army Community Hospital, Fort Campbell, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881224814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP139963 (Texas) | Primary |
| Entity Name | Austin Travis County Mental Health And Mental Retardation Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750337259 PECOS PAC ID: 9133016306 Enrollment ID: O20040305000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Mcdonald, Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Ph: () - | Amanda Mcdonald, Blanchfield Army Community Hospital, Fort Campbell, KY 42223 Ph: (270) 412-3112 |
Mrs. Denise L Jones, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 605 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-4677 | |
Dr. Michael D Haight, D.C., FNP, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-412-6555 | |
Mr. Tracy Lynn Saboy, MSN, ANP-BC, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8727 | |
Mrs. Jessica Elaine Lietz, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Leslie Marvene Gallon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-461-2868 | |
Ute Poepsel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Blanchfield Ach, Credentialing Office - Room 1eb01, Fort Campbell, KY 42223 Phone: 270-412-8983 Fax: 270-461-0243 | |
Mr. Patrick W Crook, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8106 |