Mrs Amanda Rose Pung, PA C is a medicare enrolled "Physician Assistant - Surgical" in Decatur, Michigan. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Bronson Lakeview Hospital and her current practice location is
319 W Delaware St, Decatur, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 423-7028.
Mrs Amanda Rose Pung is licensed to practice in Michigan (license number 5601004946) 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 1699844571.
Provider's Profile
| Full Name | Mrs Amanda Rose Pung |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 18 Years |
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| Location | 319 W Delaware St, Decatur, Michigan |
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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. |
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Medical Education and Training:
- Mrs Amanda Rose Pung graduated from nursing school in 2006
NPI Data:
- NPI Number: 1699844571
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537266168
- Enrollment ID: I20070516000350
Medical Identifiers
Medical identifiers for Mrs Amanda Rose Pung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699844571 | NPI | - | NPPES |
| 5390069 | Other | MI | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AS0400X | Physician Assistant - Surgical | 5601004946 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bronson Lakeview Hospital | 9032008495 | 43 |
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 Rose Pung 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 Rose Pung, PA C
319 W Delaware St,
Decatur, MI 49045-1106
Ph: (269) 423-7028 | Mrs Amanda Rose Pung, PA C
319 W Delaware St,
Decatur, MI 49045-1106
Ph: (269) 423-7028 |
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