Amanda Nicole Dame, FNP is a medicare enrolled "Nurse Practitioner - Family" in Nebo, Kentucky. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pineville Community Health Center Inc, Ultra Health Llc and her current practice location is
70 Green St, Nebo, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 836-9157.
Amanda Nicole Dame is licensed to practice in Kentucky (license number 3012241) 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 1215428578.
Provider's Profile
| Full Name | Amanda Nicole Dame |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 70 Green St, Nebo, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amanda Nicole Dame graduated from nursing school in 2017
NPI Data:
- NPI Number: 1215428578
- Provider Enumeration Date: 05/22/2018
- Last Update Date: 05/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 1153674890
- Enrollment ID: I20181026002121
Medical Identifiers
Medical identifiers for Amanda Nicole Dame such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215428578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3012241 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pineville Community Health Center Inc | 5698009157 | 29 |
| Ultra Health Llc | 6800186602 | 85 |
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 Nicole Dame allows following entities to bill medicare on her behalf.
| Entity Name | Brock Medical, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023379815
PECOS PAC ID: 9830354638
Enrollment ID: O20120628000567 |
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| Entity Name | Ultra Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20181109001113 |
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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 Nicole Dame 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 |
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Amanda Nicole Dame, FNP
70 Green St,
Nebo, KY 42441-9542
Ph: (270) 836-9157 | Amanda Nicole Dame, FNP
70 Green St,
Nebo, KY 42441-9542
Ph: (270) 836-9157 |
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