Amanda Nicole Pursifull, PA-C is a
Physician Assistant - Medical based in Middlesboro, Kentucky. Amanda Nicole Pursifull is licensed to practice in * (Not Available) (license number ) and her current practice location is
705 N 12th St, Middlesboro, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 248-0064.
NPI number for Amanda Nicole Pursifull is 1922727601 and her current mailing address is Po Box 352, Arjay, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922727601.
Provider's Profile
Full Name | Amanda Nicole Pursifull |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 705 N 12th St, Middlesboro, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922727601
- Provider Enumeration Date: 08/25/2022
- Last Update Date: 08/25/2022
Medical Identifiers
Medical identifiers for Amanda Nicole Pursifull such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922727601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
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 Pursifull is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Nicole Pursifull, PA-C Po Box 352, Arjay, KY 40902-0352 Ph: () - | Amanda Nicole Pursifull, PA-C 705 N 12th St, Middlesboro, KY 40965-1987 Ph: (606) 248-0064 |
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