Amanda Quinn Stout, CRNP is a medicare enrolled "Nurse Practitioner" in Lykens, Pennsylvania. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Practice Center Pc and her current practice location is
517 South St, Lykens, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 453-1073.
Amanda Quinn Stout is licensed to practice in Pennsylvania (license number SP025344) 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 1740931062.
Provider's Profile
| Full Name | Amanda Quinn Stout |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 3 Years |
|---|
| Location | 517 South St, Lykens, Pennsylvania |
|---|
| Accepts Medicare Assignments | Yes. 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 Quinn Stout graduated from nursing school in 2021
NPI Data:
- NPI Number: 1740931062
- Provider Enumeration Date: 01/18/2022
- Last Update Date: 03/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577959410
- Enrollment ID: I20220401001587
Medical Identifiers
Medical identifiers for Amanda Quinn Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740931062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | SP025344 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Family Practice Center Pc | 0244124212 | 280 |
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 Quinn Stout allows following entities to bill medicare on her behalf.
| Entity Name | Family Practice Center Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1154376937
PECOS PAC ID: 0244124212
Enrollment ID: O20040211000012 |
|---|
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 Quinn Stout 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 Quinn Stout, CRNP
7 Dock Hill Rd,
Middleburg, PA 17842-8910
Ph: (570) 837-2123 | Amanda Quinn Stout, CRNP
517 South St,
Lykens, PA 17048-1520
Ph: (717) 453-1073 |
Reviews and Comments