Amanda Michelle Whitacre, PMHNP-BC in Hattiesburg, MS

Amanda Michelle Whitacre, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hattiesburg, Mississippi. Her current practice location is 34 Millbranch Rd, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 909-9394.

Amanda Michelle Whitacre is licensed to practice in Mississippi (license number 905840) 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 1215309133.

Contact Information

	Amanda Michelle Whitacre, PMHNP-BC
	34 Millbranch Rd, Hattiesburg, MS 39402-1686
	(601) 909-9394
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Michelle Whitacre
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	34 Millbranch Rd, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215309133
Provider Enumeration Date: 10/30/2015
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 5597130393
Enrollment ID: I20230410001308

Medical Identifiers

Medical identifiers for Amanda Michelle Whitacre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215309133	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	905840 (Mississippi)	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 Michelle Whitacre allows following entities to bill medicare on her behalf.

Entity Name	Region 12 Commission On Mental Health & Retardation Pine Belt Men
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982610572 PECOS PAC ID: 3971561747 Enrollment ID: O20041227000393

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 Michelle Whitacre 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 Michelle Whitacre, PMHNP-BC 2914 Prince George Rd, Hattiesburg, MS 39402-2453 Ph: (601) 315-9382	Amanda Michelle Whitacre, PMHNP-BC 34 Millbranch Rd, Hattiesburg, MS 39402-1686 Ph: (601) 909-9394

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700

Amanda Michelle Whitacre, PMHNP-BC - Medicare Nurse Practitioner in Hattiesburg, MS