Amy L Wyatt, AGPCNP in Jefferson City, MO - Medicare Nurse Practitioner

Amy L Wyatt, AGPCNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Jefferson City, Missouri. Her current practice location is 1125 Madison St, Jefferson City, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 632-5000.

Amy L Wyatt is licensed to practice in Missouri (license number 2019037098) 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 1508499278.

Contact Information

	Amy L Wyatt, AGPCNP
	1125 Madison St, Jefferson City, MO 65101-5227
	(573) 632-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Amy L Wyatt
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1125 Madison St, Jefferson City, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508499278
Provider Enumeration Date: 02/20/2020
Last Update Date: 02/24/2020

Medicare PECOS Information:

PECOS PAC ID: 3779914494
Enrollment ID: I20200513002610

Medical Identifiers

Medical identifiers for Amy L Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508499278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	2019037098 (Missouri)	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 L Wyatt allows following entities to bill medicare on her behalf.

Entity Name	Capital Region Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507

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 L Wyatt 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
Amy L Wyatt, AGPCNP Po Box 644, Saint James, MO 65559-0644 Ph: (573) 263-5593	Amy L Wyatt, AGPCNP 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5000

Reviews and Comments

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Amy L Wyatt, AGPCNP - Medicare Nurse Practitioner in Jefferson City, MO