Amaza Tripp, MSN, APRN, CNP in Fort Moore, GA

Amaza Tripp, MSN, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Moore, Georgia. Her current practice location is 6600 Van Aalst Blvd, Fort Moore, Georgia. You can reach out to her office (for appointments etc.) via phone at (762) 408-2273.

Amaza Tripp is licensed to practice in Oklahoma (license number 111903) 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 1013570035.

Contact Information

	Amaza Tripp, MSN, APRN, CNP
	6600 Van Aalst Blvd, Fort Moore, GA 31905-2102
	(762) 408-2273
	Not Available

Map and Direction

Provider's Profile

Full Name	Amaza Tripp
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6600 Van Aalst Blvd, Fort Moore, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013570035
Provider Enumeration Date: 04/16/2019
Last Update Date: 06/06/2024

Medicare PECOS Information:

PECOS PAC ID: 5496089211
Enrollment ID: I20190628000383

Medical Identifiers

Medical identifiers for Amaza Tripp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013570035	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	111903 (Oklahoma)	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. Amaza Tripp allows following entities to bill medicare on her behalf.

Entity Name	The Physicians Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487620381 PECOS PAC ID: 8325950603 Enrollment ID: O20031104000641

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. Amaza Tripp 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
Amaza Tripp, MSN, APRN, CNP 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: () -	Amaza Tripp, MSN, APRN, CNP 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (762) 408-2273

Reviews and Comments

Nurse Practitioner Nurses in Fort Moore, GA

Dr. Kevin Jones, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 706-626-1619
Donna Mills, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-2604
Mr. Robert Louis Carter Ii, RN, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2350
Lauren Jensen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 706-544-8816 Fax: 762-408-8123
Dr. Shanley Lauren Brasher, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-2273
Leslie Pandy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2273

Amaza Tripp, MSN, APRN, CNP - Medicare Nurse Practitioner in Fort Moore, GA