Mrs Amanda Bliss Perry, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Glen Rogers, West Virginia. Her current practice location is
681 Glen Rogers Rd., Glen Rogers, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(910) 233-6674.
Mrs Amanda Bliss Perry is licensed to practice in West Virginia (license number 114791) 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 1962113621.
Provider's Profile
Full Name | Mrs Amanda Bliss Perry |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 681 Glen Rogers Rd., Glen Rogers, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962113621
- Provider Enumeration Date: 12/13/2022
- Last Update Date: 12/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729429568
- Enrollment ID: I20240510003264
Medical Identifiers
Medical identifiers for Mrs Amanda Bliss Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962113621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 114791 (West Virginia) | 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. Mrs Amanda Bliss Perry allows following entities to bill medicare on her behalf.
Entity Name | Tug River Health Association, Inc |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
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Entity Identifiers | NPI Number: 1831273945 PECOS PAC ID: 7214820547 Enrollment ID: O20051010000216 |
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Entity Name | Tug River Health Association, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295033009 PECOS PAC ID: 7214820547 Enrollment ID: O20200213001912 |
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Entity Name | Tug River Health Association, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639842818 PECOS PAC ID: 7214820547 Enrollment ID: O20220514000276 |
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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. Mrs Amanda Bliss Perry 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 |
Mrs Amanda Bliss Perry, FNP-BC Po Box 840, Pineville, WV 24874-0840 Ph: (910) 233-6674 | Mrs Amanda Bliss Perry, FNP-BC 681 Glen Rogers Rd., Glen Rogers, WV 25848 Ph: (910) 233-6674 |
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