Amanda Nicola Jackson Woodall, PMHNP-BC - Medicare Nurse Practitioner in Cordova, TN

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Amanda Nicola Jackson Woodall, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cordova, Tennessee. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jim Pang Md Pllc, Jim Pang Md Pllc and her current practice location is 8130 Country Village Dr Ste 102, Cordova, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 308-2915.

Amanda Nicola Jackson Woodall is licensed to practice in Tennessee (license number 197904) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073092185.

Contact Information

Amanda Nicola Jackson Woodall, PMHNP-BC
8130 Country Village Dr Ste 102,
Cordova, TN 38016-2087
(901) 308-2915
(901) 308-2924

Map and Direction




Provider's Profile

Full NameAmanda Nicola Jackson Woodall
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location8130 Country Village Dr Ste 102, Cordova, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Nicola Jackson Woodall graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1073092185
  • Provider Enumeration Date: 08/09/2018
  • Last Update Date: 08/09/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4789929076
  • Enrollment ID: I20181213003039

Medical Identifiers

Medical identifiers for Amanda Nicola Jackson Woodall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073092185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 197904 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jim Pang Md Pllc46889256969
Jim Pang Md Pllc46889256969

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 Nicola Jackson Woodall allows following entities to bill medicare on her behalf.
Entity NameHealthquest Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548229131
PECOS PAC ID: 6406742303
Enrollment ID: O20041004000669
Entity NamePanola Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528528874
PECOS PAC ID: 2668715624
Enrollment ID: O20190515002618
Entity NameJim Pang Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447620901
PECOS PAC ID: 4688925696
Enrollment ID: O20231031000968

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 Nicola Jackson Woodall 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 Nicola Jackson Woodall, PMHNP-BC
58 Timber Creek Dr,
Cordova, TN 38018-4233

Ph: (901) 566-1002		Amanda Nicola Jackson Woodall, PMHNP-BC
8130 Country Village Dr Ste 102,
Cordova, TN 38016-2087

Ph: (901) 308-2915

Reviews and Comments


Nurse Practitioner Nurses in Cordova, TN

Chandler Roberts Cummins, DNP
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Paula M Martin, FNP-C
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Mr. Corey Konemann, FNP-C
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Dr. Camillia Haddix, DNP
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Medicare: Accepting Medicare Assignments
Practice Location: 65 Germantown Ct Ste 402, Cordova, TN 38018
Phone: 901-752-4900    Fax: 901-752-4902
Sheneara Guide-wade, FNP-C
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Practice Location: 676 N Germantown Pkwy, Cordova, TN 38018
Phone: 901-969-1405    

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).

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