Mrs Amanda Jo Prestigiacomo, FNP-C - Medicare Nurse Practitioner in Twin Falls, ID

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Mrs Amanda Jo Prestigiacomo, FNP-C is a medicare enrolled "Nurse Practitioner" in Twin Falls, Idaho. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Lukes Clinic Llc, Idaho Kidney Institute Llp and her current practice location is 350 N Haven Dr, Twin Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 904-4780.

Mrs Amanda Jo Prestigiacomo is licensed to practice in Idaho (license number 55632) 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 1043747579.

Contact Information

Mrs Amanda Jo Prestigiacomo, FNP-C
350 N Haven Dr,
Twin Falls, ID 83301-5788
(208) 904-4780
(208) 904-4832

Map and Direction




Provider's Profile

Full NameMrs Amanda Jo Prestigiacomo
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location350 N Haven Dr, Twin Falls, Idaho
Accepts Medicare AssignmentsYes. 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 Jo Prestigiacomo graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1043747579
  • Provider Enumeration Date: 05/15/2017
  • Last Update Date: 04/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6103197355
  • Enrollment ID: I20170807000202

Medical Identifiers

Medical identifiers for Mrs Amanda Jo Prestigiacomo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043747579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 55632 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Lukes Magic Valley Medical CenterTwin falls, IDHospital
Minidoka Memorial HospitalRupert, IDHospital
North Canyon Medical CenterGooding, IDHospital
Cassia Regional HospitalBurley, IDHospital
St Luke's Wood River Medical CenterKetchum, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic Llc1052217478274
Idaho Kidney Institute Llp903215531216

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 Jo Prestigiacomo allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899
Entity NameIdaho Kidney Institute Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013064690
PECOS PAC ID: 9032155312
Enrollment ID: O20050708000247
Entity NameVisions Home Health & Visions Home Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235137761
PECOS PAC ID: 0648174268
Enrollment ID: O20200319002235

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 Jo Prestigiacomo 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 AddressPractice Location Address
Mrs Amanda Jo Prestigiacomo, FNP-C
Po Box 268934,
Oklahoma City, OK 73126-8934

Ph: (208) 904-4780		Mrs Amanda Jo Prestigiacomo, FNP-C
350 N Haven Dr,
Twin Falls, ID 83301-5788

Ph: (208) 904-4780

Reviews and Comments


Nurse Practitioner Nurses in Twin Falls, ID

Madison Christine Campbell, MSN, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 815 N College Rd, Twin Falls, ID 83301
Phone: 208-814-9100    Fax: 208-814-9903
Janice Carter, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2086 Addison Ave E, Twin Falls, ID 83301
Phone: 208-733-9697    Fax: 208-733-3197
Lesley D. Goulding, FNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301
Phone: 208-814-8740    Fax: 208-814-8955
Mrs. Raemi Dawn Nolevanko, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301
Phone: 208-814-1000    
Reatta Omoth, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2550 Addison Ave E Ste E, Twin Falls, ID 83301
Phone: 208-814-7780    Fax: 208-814-7746
Corinne Bartschi, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301
Phone: 208-595-5095    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.