Amy Elizabeth Vanderwall, CRNP - Medicare Nurse Practitioner in Watsontown, PA

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Amy Elizabeth Vanderwall, CRNP is a medicare enrolled "Nurse Practitioner" in Watsontown, Pennsylvania. Her current practice location is 12560 State Route 405, Watsontown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 538-2501.

Amy Elizabeth Vanderwall is licensed to practice in Pennsylvania (license number SP020400) 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 1659836914.

Contact Information

Amy Elizabeth Vanderwall, CRNP
12560 State Route 405,
Watsontown, PA 17777-8525
(570) 538-2501
(570) 538-3227

Map and Direction




Provider's Profile

Full NameAmy Elizabeth Vanderwall
GenderFemale
SpecialityNurse Practitioner
Location12560 State Route 405, Watsontown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659836914
  • Provider Enumeration Date: 01/31/2019
  • Last Update Date: 03/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0143558254
  • Enrollment ID: I20190828001210

Medical Identifiers

Medical identifiers for Amy Elizabeth Vanderwall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659836914NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN630439 (Pennsylvania)Secondary
363L00000XNurse Practitioner SP020400 (Pennsylvania)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. Amy Elizabeth Vanderwall allows following entities to bill medicare on her behalf.
Entity NameHcr Manorcare Medical Services Of Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386750420
PECOS PAC ID: 2264338532
Enrollment ID: O20041230000181
Entity NameDynamic Healthcare Solutions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487388187
PECOS PAC ID: 5597140178
Enrollment ID: O20220919000286

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. Amy Elizabeth Vanderwall 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
Amy Elizabeth Vanderwall, CRNP
7 Dock Hill Rd,
Middleburg, PA 17842-8910

Ph: (570) 837-2123		Amy Elizabeth Vanderwall, CRNP
12560 State Route 405,
Watsontown, PA 17777-8525

Ph: (570) 538-2501

Reviews and Comments


Nurse Practitioner Nurses in Watsontown, PA

Karen Anne Wolf, PHD, APRN-BC,DRNAP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12560 State Route 405, Watsontown, PA 17777
Phone: 570-538-2501    Fax: 570-538-3227

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.