Mrs Mandy Jo Butler, FNP is a medicare enrolled "Nurse Practitioner - Family" in Cloverport, Kentucky. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Breckinridge Health, Inc. and her current practice location is
209 Elm St, Cloverport, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 788-3000.
Mrs Mandy Jo Butler is licensed to practice in Kentucky (license number 4083P) 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 1215935549.
Provider's Profile
| Full Name | Mrs Mandy Jo Butler |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 21 Years |
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| Location | 209 Elm St, Cloverport, Kentucky |
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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 Mandy Jo Butler graduated from nursing school in 2003
NPI Data:
- NPI Number: 1215935549
- Provider Enumeration Date: 07/11/2005
- Last Update Date: 01/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 4082742366
- Enrollment ID: I20100506000516
Medical Identifiers
Medical identifiers for Mrs Mandy Jo Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215935549 | NPI | - | NPPES |
| 78010758 | Medicaid | KY | |
| 000000311345 | Other | KY | BCBS |
| 50003764 | Other | KY | PASSPORT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4083P (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Breckinridge Health, Inc. | 0941106454 | 14 |
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 Mandy Jo Butler allows following entities to bill medicare on her behalf.
| Entity Name | Breckinridge Health, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104828383
PECOS PAC ID: 0941106454
Enrollment ID: O20031208000333 |
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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 Mandy Jo Butler 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 Mandy Jo Butler, FNP
209 Elm St,
Cloverport, KY 40111-1324
Ph: (270) 788-3000 | Mrs Mandy Jo Butler, FNP
209 Elm St,
Cloverport, KY 40111-1324
Ph: (270) 788-3000 |
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