Amanda Sullivan Bahler, APRN in Fayetteville, GA

Amanda Sullivan Bahler, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Fayetteville, Georgia. Her current practice location is 105 Carnegie Pl Ste 103, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 716-7999.

Amanda Sullivan Bahler is licensed to practice in Connecticut (license number 6612) 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 1245785013.

Contact Information

	Amanda Sullivan Bahler, APRN
	105 Carnegie Pl Ste 103, Fayetteville, GA 30214-5900
	(770) 716-7999
	(770) 716-8444

Map and Direction

Provider's Profile

Full Name	Amanda Sullivan Bahler
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	105 Carnegie Pl Ste 103, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245785013
Provider Enumeration Date: 08/22/2016
Last Update Date: 05/09/2024

Medicare PECOS Information:

PECOS PAC ID: 2860776481
Enrollment ID: I20170228000015

Medical Identifiers

Medical identifiers for Amanda Sullivan Bahler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245785013	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	6612 (Connecticut)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	6612 (Connecticut)	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 Sullivan Bahler allows following entities to bill medicare on her behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

Entity Name	Hartford Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007

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 Sullivan Bahler 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 Sullivan Bahler, APRN 80 Seymour Street, Hartford, CT 06102-5037 Ph: (860) 545-5000	Amanda Sullivan Bahler, APRN 105 Carnegie Pl Ste 103, Fayetteville, GA 30214-5900 Ph: (770) 716-7999

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, GA

Ms. Philicia Duncan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn Street South, Fayetteville, GA 30214 Phone: 770-461-4126
Brittney Shay Pasko, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-719-0051 Fax: 770-716-0087
Angela Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6799 Fax: 770-719-6059
Eleasa Milano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214 Phone: 808-446-4609
Erin Dee Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214 Phone: 770-461-1238
Mrs. Ashley Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214 Phone: 678-971-4167 Fax: 833-989-2501
Omolola Otubaga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214 Phone: 770-703-4448 Fax: 770-703-4038

Amanda Sullivan Bahler, APRN - Medicare Nurse Practitioner in Fayetteville, GA