Amanda Womack, is a medicare enrolled "Anesthesiologist Assistant" in Overland Park, Kansas. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Anesthesia Medical Professionals Pllc and her current practice location is
8037 Perry St Apt 164, Overland Park, Kansas. You can reach out to her office (for appointments etc.) via phone at
(405) 819-6925.
Amanda Womack is licensed to practice in * (Not Available) (license number ) 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 1689116030.
Provider's Profile
| Full Name | Amanda Womack |
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| Gender | Female |
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| Speciality | Anesthesiology Assistant |
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| Experience | 7 Years |
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| Location | 8037 Perry St Apt 164, Overland Park, Kansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amanda Womack graduated from nursing school in 2017
NPI Data:
- NPI Number: 1689116030
- Provider Enumeration Date: 11/15/2016
- Last Update Date: 06/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 3274803804
- Enrollment ID: I20170714000554
Medical Identifiers
Medical identifiers for Amanda Womack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689116030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anesthesia Medical Professionals Pllc | 5991970279 | 90 |
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 Womack allows following entities to bill medicare on her behalf.
| Entity Name | St. John Anesthesia Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265446579
PECOS PAC ID: 4789607938
Enrollment ID: O20060113000295 |
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| Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043516628
PECOS PAC ID: 1254519275
Enrollment ID: O20110622000357 |
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| Entity Name | Anesthesia Medical Professionals Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962785931
PECOS PAC ID: 5991970279
Enrollment ID: O20111215000187 |
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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 Womack 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 |
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Amanda Womack,
1211 E 134th Pl,
Glenpool, OK 74033
Ph: () - | Amanda Womack,
8037 Perry St Apt 164,
Overland Park, KS 66204-4756
Ph: (405) 819-6925 |
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