Amber Grace Fern, NURSE PRACTITIONER - Medicare Nurse Practitioner in Great Bend, KS

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Amber Grace Fern, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Great Bend, Kansas. Her current practice location is 3515 Broadway Ave, Great Bend, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 792-2511.

Amber Grace Fern is licensed to practice in Kansas (license number 53-79827-032) 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 1457942856.

Contact Information

Amber Grace Fern, NURSE PRACTITIONER
3515 Broadway Ave,
Great Bend, KS 67530-3633
(620) 792-2511
Not Available

Map and Direction




Provider's Profile

Full NameAmber Grace Fern
GenderFemale
SpecialityNurse Practitioner - Family
Location3515 Broadway Ave, Great Bend, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457942856
  • Provider Enumeration Date: 01/28/2021
  • Last Update Date: 06/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1658770516
  • Enrollment ID: I20221017002921

Medical Identifiers

Medical identifiers for Amber Grace Fern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457942856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 53-79827-032 (Kansas)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. Amber Grace Fern allows following entities to bill medicare on her behalf.
Entity NameLincoln County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1942265327
PECOS PAC ID: 0941118061
Enrollment ID: O20030908000008
Entity NameLincoln County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841248952
PECOS PAC ID: 0941118061
Enrollment ID: O20050225000744

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. Amber Grace Fern 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 AddressPractice Location Address
Amber Grace Fern, NURSE PRACTITIONER
3515 Broadway Ave,
Great Bend, KS 67530-3633

Ph: (620) 792-2511		Amber Grace Fern, NURSE PRACTITIONER
3515 Broadway Ave,
Great Bend, KS 67530-3633

Ph: (620) 792-2511

Reviews and Comments


Nurse Practitioner Nurses in Great Bend, KS

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Phone: 620-792-2511    Fax: 620-786-6262
Amanda Gail Lakin, APRN, PMHNP-BC
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Peter Mick, NP-C
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.