Mrs Amanda Rae Wholly, ANP is a medicare enrolled "Nurse Practitioner - Women's Health" in Apo, New York. Her current practice location is
Landstuhl Regional Medical Center Unit 33100, Apo, New York. You can reach out to her office (for appointments etc.) via phone at
(153) 590-7662.
Mrs Amanda Rae Wholly is licensed to practice in Alaska (license number 103809) 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 1780052159.
Provider's Profile
| Full Name | Mrs Amanda Rae Wholly |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Women's Health |
|---|
| Location | Landstuhl Regional Medical Center Unit 33100, Apo, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1780052159
- Provider Enumeration Date: 09/02/2015
- Last Update Date: 01/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779941588
- Enrollment ID: I20230626002282
Medical Identifiers
Medical identifiers for Mrs Amanda Rae Wholly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780052159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 103809 (Alaska) | 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 Rae Wholly allows following entities to bill medicare on her behalf.
| Entity Name | Alaska Womens Cancer Care Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1063765295
PECOS PAC ID: 3971758319
Enrollment ID: O20130308000484 |
|---|
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 Rae Wholly 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 Rae Wholly, ANP
4001 Lake Otis Pkwy Ste 101,
Anchorage, AK 99508-5200
Ph: (800) 769-0045 | Mrs Amanda Rae Wholly, ANP
Landstuhl Regional Medical Center Unit 33100,
Apo, NY 09180-3100
Ph: (153) 590-7662 |
Reviews and Comments