Miss Amber J Stafford, CPNP-PC in Roanoke, VA

Miss Amber J Stafford, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Roanoke, Virginia. Her current practice location is 4348 Electric Rd, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 769-0976.

Miss Amber J Stafford is licensed to practice in Virginia (license number 0024185478) 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 1285353417.

Contact Information

	Miss Amber J Stafford, CPNP-PC
	4348 Electric Rd, Roanoke, VA 24018-0720
	(540) 769-0976
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Amber J Stafford
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	4348 Electric Rd, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285353417
Provider Enumeration Date: 08/23/2022
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 6305292855
Enrollment ID: I20231019002958

Medical Identifiers

Medical identifiers for Miss Amber J Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285353417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001257265 (Virginia)	Secondary
363L00000X	Nurse Practitioner	0024185478 (Virginia)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	0024185478 (Virginia)	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. Miss Amber J Stafford allows following entities to bill medicare on her behalf.

Entity Name	Kuumba Community Health & Wellness Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205815420 PECOS PAC ID: 1052308632 Enrollment ID: O20040427000330

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. Miss Amber J Stafford 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
Miss Amber J Stafford, CPNP-PC 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () -	Miss Amber J Stafford, CPNP-PC 4348 Electric Rd, Roanoke, VA 24018-0720 Ph: (540) 769-0976

Reviews and Comments

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Miss Amber J Stafford, CPNP-PC - Medicare Nurse Practitioner in Roanoke, VA