Mrs Amanda Vernon, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Paragon, Indiana. Her current practice location is
1349 N Olive Church Rd, Paragon, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 874-8843.
Mrs Amanda Vernon is licensed to practice in Indiana (license number 71011409A) 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 1184390460.
Provider's Profile
Full Name | Mrs Amanda Vernon |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 1349 N Olive Church Rd, Paragon, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184390460
- Provider Enumeration Date: 08/18/2021
- Last Update Date: 08/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395141436
- Enrollment ID: I20210915000351
Medical Identifiers
Medical identifiers for Mrs Amanda Vernon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184390460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71011409B (Indiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71011409A (Indiana) | 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 Vernon allows following entities to bill medicare on her behalf.
Entity Name | Pike Medical Consultants Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770689242 PECOS PAC ID: 1850495003 Enrollment ID: O20070328000668 |
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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 Vernon 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 Vernon, PMHNP 1349 N Olive Church Rd, Paragon, IN 46166-9263 Ph: (317) 874-8843 | Mrs Amanda Vernon, PMHNP 1349 N Olive Church Rd, Paragon, IN 46166-9263 Ph: (317) 874-8843 |
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