| Amanda Michelle Outly, PA | |
|
2001 E. Highway 20, Family Medicine Department, Niceville, FL 32578-8826 | |
| (850) 897-6600 | |
| (850) 897-0623 |
| Full Name | Amanda Michelle Outly |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 2001 E. Highway 20, Niceville, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003298969 | NPI | - | NPPES |
| N3KG2 | Other | FL | BCBSFL |
| 022418500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9110768 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Florida Regional Medical Center | Gainesville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Florida Surgical Associates Llc | 4082634407 | 40 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Michelle Outly, PA 1005 Mar Walt Drive, Family Medicine Department, Fort Walton Beach, FL 32547-6796 Ph: (850) 863-6600 | Amanda Michelle Outly, PA 2001 E. Highway 20, Family Medicine Department, Niceville, FL 32578-8826 Ph: (850) 897-6600 |
Mrs. Amy M. Drab, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2600 Partin Dr N Ste 110, Niceville, FL 32578 Phone: 850-517-6578 Fax: 850-810-5488 | |
Allison Sue Herman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 Hwy 85, Suite A, Niceville, FL 32578 Phone: 850-517-9041 | |
Mr. William H Diamond Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4566 E Highway 20 Ste 101, Niceville, FL 32578 Phone: 850-897-7546 | |
Leah Tedder, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2190 Highway 85 N, Niceville, FL 32578 Phone: 850-729-9490 | |
Gregory Brent Archer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550-a Twin Cities Boulevard, Orthopaedic And Spine Surgery Center, Niceville, FL 32578 Phone: 850-729-1444 | |
Harry F Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 Twin Cities Blvd, Suite A, Niceville, FL 32578 Phone: 850-729-1444 Fax: 850-729-0300 |