Mrs Amanda Calloway Phillips, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Fairdale, Kentucky. She graduated from nursing school in 2003 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Health Centers, Inc. and her current practice location is
1000 Neighborhood Pl, Fairdale, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 361-2381.
Mrs Amanda Calloway Phillips is licensed to practice in Kentucky (license number 1093115) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932308855.
Provider's Profile
Full Name | Mrs Amanda Calloway Phillips |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 22 Years |
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Location | 1000 Neighborhood Pl, Fairdale, Kentucky |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Amanda Calloway Phillips graduated from nursing school in 2003
NPI Data:
- NPI Number: 1932308855
- Provider Enumeration Date: 07/11/2007
- Last Update Date: 04/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 4587722095
- Enrollment ID: I20090114000648
Medical Identifiers
Medical identifiers for Mrs Amanda Calloway Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932308855 | NPI | - | NPPES |
7100068450 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 28146751A (Indiana) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | 71001599A (Indiana) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | 1093115 (Kentucky) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Family Health Centers, Inc. | 6901700053 | 44 |
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 Calloway Phillips allows following entities to bill medicare on her behalf.
Entity Name | Family Health Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649732603 PECOS PAC ID: 6901700053 Enrollment ID: O20031121000045 |
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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 Calloway Phillips 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 Calloway Phillips, NP Po Box 950244, Louisville, KY 40295-0244 Ph: (502) 953-4700 | Mrs Amanda Calloway Phillips, NP 1000 Neighborhood Pl, Fairdale, KY 40118-9697 Ph: (502) 361-2381 |
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