Mrs Amanda Kay Douma, APNP in Neenah, WI - Medicare Nurse Practitioner

Mrs Amanda Kay Douma, APNP is a medicare enrolled "Nurse Practitioner - Family" in Neenah, Wisconsin. 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 Agnesian Healthcare Inc and her current practice location is 333 N Green Bay Rd Ste B, Neenah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 454-7130.

Mrs Amanda Kay Douma is licensed to practice in Wisconsin (license number 6264) 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 1043697048.

Contact Information

	Mrs Amanda Kay Douma, APNP
	333 N Green Bay Rd Ste B, Neenah, WI 54956-1954
	(920) 454-7130
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amanda Kay Douma
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	333 N Green Bay Rd Ste B, Neenah, Wisconsin
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 Kay Douma graduated from nursing school in 2014

NPI Data:

NPI Number: 1043697048
Provider Enumeration Date: 04/29/2015
Last Update Date: 03/03/2021

Medicare PECOS Information:

PECOS PAC ID: 9739409954
Enrollment ID: I20150528002432

Medical Identifiers

Medical identifiers for Mrs Amanda Kay Douma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043697048	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	6264 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Agnes Hospital	Fond du lac, WI	Hospital
Waupun Memorial Hospital	Waupun, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agnesian Healthcare Inc	1658289624	335

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 Kay Douma allows following entities to bill medicare on her behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

Entity Name	Thedacare, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

Entity Name	Thedacare Regional Medical Center - Appleton, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902832306 PECOS PAC ID: 2163319039 Enrollment ID: O20040304000064

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 Kay Douma 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 Kay Douma, APNP 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: () -	Mrs Amanda Kay Douma, APNP 333 N Green Bay Rd Ste B, Neenah, WI 54956-1954 Ph: (920) 454-7130

Reviews and Comments

Nurse Practitioner Nurses in Neenah, WI

Lori A. Franck, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956 Phone: 920-725-4527
Mrs. Bonnie B Hoersch, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2738 Fax: 920-729-3023
Pamela Macwilliams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 2nd St Ste 197, Neenah, WI 54956 Phone: 920-729-2030
Mrs. Carissa Jo Ranieri, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 W American Dr, Neenah, WI 54956 Phone: 920-430-8113
Ellen Beltz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2738
Marie K Dziewit, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956 Phone: 920-725-4527 Fax: 920-729-2378

Mrs Amanda Kay Douma, APNP - Medicare Nurse Practitioner in Neenah, WI