Miss Amy Lee Farside, APN in Galloway, NJ - Medicare Nurse Practitioner

Miss Amy Lee Farside, APN is a medicare enrolled "Nurse Practitioner - Family" in Galloway, New Jersey. Her current practice location is 310 Chris Gaupp Dr Ste 102, Galloway, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 652-9933.

Miss Amy Lee Farside is licensed to practice in New Jersey (license number 26NJ00433500) 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 1891179156.

Contact Information

	Miss Amy Lee Farside, APN
	310 Chris Gaupp Dr Ste 102, Galloway, NJ 08205-4461
	(609) 652-9933
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Amy Lee Farside
Gender	Female
Speciality	Nurse Practitioner - Family
Location	310 Chris Gaupp Dr Ste 102, Galloway, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891179156
Provider Enumeration Date: 07/16/2015
Last Update Date: 07/16/2015

Medicare PECOS Information:

PECOS PAC ID: 3678874344
Enrollment ID: I20151222001966

Medical Identifiers

Medical identifiers for Miss Amy Lee Farside such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891179156	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ00433500 (New Jersey)	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 Amy Lee Farside allows following entities to bill medicare on her behalf.

Entity Name	Atlanticare Physician Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405

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 Amy Lee Farside 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 Amy Lee Farside, APN 4144 Post Rd, Vineland, NJ 08360-9313 Ph: (609) 319-2152	Miss Amy Lee Farside, APN 310 Chris Gaupp Dr Ste 102, Galloway, NJ 08205-4461 Ph: (609) 652-9933

Reviews and Comments

Nurse Practitioner Nurses in Galloway, NJ

Mohammad Waqas, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28 S New York Rd Ste C4, Galloway, NJ 08205 Phone: 609-652-0555
Michelle Amendolia, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 W Jimmie Leeds Rd, Galloway, NJ 08205 Phone: 609-652-1000
Ms. Sandra Mary Burmylo-magrann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53 W White Horse Pike Ste D, Galloway, NJ 08205 Phone: 609-748-2800 Fax: 609-748-6721
Lisa Kern, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 318 Chris Gaupp Dr, Galloway, NJ 08205 Phone: 609-404-9900 Fax: 609-404-3687
Lishai Tierra Crear, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 318 Chris Gaupp Dr, Galloway, NJ 08205 Phone: 609-404-9900 Fax: 609-404-3653
Rachel Rowlinson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 W Filmore Ave, Galloway, NJ 08205 Phone: 609-442-2306
Dharika Patel, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 411 Ebony Tree Ave, Galloway, NJ 08205 Phone: 609-553-1969

Miss Amy Lee Farside, APN - Medicare Nurse Practitioner in Galloway, NJ