Joy L Amundson, NP in Fullerton, CA - Medicare Nurse Practitioner

Joy L Amundson, NP is a medicare enrolled "Nurse Practitioner" in Fullerton, California. Her current practice location is 2151 N Harbor Blvd Ste 2100, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (714) 732-0592.

Joy L Amundson is licensed to practice in California (license number 95004766) 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 1194073692.

Contact Information

	Joy L Amundson, NP
	2151 N Harbor Blvd Ste 2100, Fullerton, CA 92835
	(714) 732-0592
	(714) 992-3037

Map and Direction

Provider's Profile

Full Name	Joy L Amundson
Gender	Female
Speciality	Nurse Practitioner
Location	2151 N Harbor Blvd Ste 2100, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194073692
Provider Enumeration Date: 08/15/2012
Last Update Date: 11/29/2022

Medicare PECOS Information:

PECOS PAC ID: 4880839885
Enrollment ID: I20221122002291

Medical Identifiers

Medical identifiers for Joy L Amundson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194073692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	150397 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	5237 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	95004766 (California)	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. Joy L Amundson allows following entities to bill medicare on her behalf.

Entity Name	Providence Saint Johns Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904

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. Joy L Amundson 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
Joy L Amundson, NP 2151 N Harbor Blvd Ste 2100, Fullerton, CA 92835-3824 Ph: (714) 732-0592	Joy L Amundson, NP 2151 N Harbor Blvd Ste 2100, Fullerton, CA 92835 Ph: (714) 732-0592

Reviews and Comments

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Joy L Amundson, NP - Medicare Nurse Practitioner in Fullerton, CA