Mrs Amanda Diane Kallas, CRNP in Frederick, MD

Mrs Amanda Diane Kallas, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Frederick, Maryland. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cardiovascular Specialists Of Frederick, Llc and her current practice location is 180 Thomas Johnson Dr Ste 202, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 631-6877.

Mrs Amanda Diane Kallas is licensed to practice in Maryland (license number R178408) 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 1265833099.

Contact Information

	Mrs Amanda Diane Kallas, CRNP
	180 Thomas Johnson Dr Ste 202, Frederick, MD 21702-4550
	(301) 631-6877
	(301) 631-5211

Map and Direction

Provider's Profile

Full Name	Mrs Amanda Diane Kallas
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	180 Thomas Johnson Dr Ste 202, Frederick, Maryland
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 Diane Kallas graduated from nursing school in 2014

NPI Data:

NPI Number: 1265833099
Provider Enumeration Date: 09/11/2014
Last Update Date: 09/07/2022

Medicare PECOS Information:

PECOS PAC ID: 1557681665
Enrollment ID: I20150513000559

Medical Identifiers

Medical identifiers for Mrs Amanda Diane Kallas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265833099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R178408 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Frederick Health Hospital	Frederick, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cardiovascular Specialists Of Frederick, Llc	4082667761	10

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 Diane Kallas allows following entities to bill medicare on her behalf.

Entity Name	Cardiovascular Specialists Of Frederick, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922034461 PECOS PAC ID: 4082667761 Enrollment ID: O20050222000655

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 Diane Kallas 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 Diane Kallas, CRNP 180 Thomas Johnson Dr Ste 202, Frederick, MD 21702-4550 Ph: (301) 631-6877	Mrs Amanda Diane Kallas, CRNP 180 Thomas Johnson Dr Ste 202, Frederick, MD 21702-4550 Ph: (301) 631-6877

Reviews and Comments

Nurse Practitioner Nurses in Frederick, MD

Ms. Kimberly Lyn Zeren, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702 Phone: 301-696-1011 Fax: 301-696-1520
Ingrid Halvorson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Issa Tew Lo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 Toll House Ave, Frederick, MD 21701 Phone: 301-662-8310
Ms. Patricia A. Rice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Kari Pratt, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 87 Thomas Johnson Dr, Ste 101, Frederick, MD 21702 Phone: 301-694-0606 Fax: 301-662-6928
Linda A Cann, MSN,APRN,FNP,PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 S Jefferson St, Frederick, MD 21701 Phone: 301-663-6135 Fax: 301-663-5738
Regine Josie, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1026 Bexhill Dr, Frederick, MD 21702 Phone: 321-482-4933

Mrs Amanda Diane Kallas, CRNP - Medicare Nurse Practitioner in Frederick, MD