Amanda Doyle, is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Geneva, Illinois. Her current practice location is
304 Randall Rd, Geneva, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 232-0610.
Amanda Doyle is licensed to practice in Illinois (license number 041430219) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396120754.
Provider's Profile
| Full Name | Amanda Doyle |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Family Health |
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| Location | 304 Randall Rd, Geneva, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396120754
- Provider Enumeration Date: 07/28/2015
- Last Update Date: 12/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 8820303886
- Enrollment ID: I20150819009029
Medical Identifiers
Medical identifiers for Amanda Doyle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396120754 | NPI | - | NPPES |
| 206147 | Other | IL | MEDICARE PTAN GROUP |
| F400235480 | Other | IL | MEDICARE PTAN INDIVIDUAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SF0001X | Clinical Nurse Specialist - Family Health | 041430219 (Illinois) | Primary |
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 Doyle allows following entities to bill medicare on her behalf.
| Entity Name | Central Dupage Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601 |
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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 Doyle 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 Doyle,
304 Randall Rd,
Geneva, IL 60134-4200
Ph: (630) 232-0610 | Amanda Doyle,
304 Randall Rd,
Geneva, IL 60134-4200
Ph: (630) 232-0610 |
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