Ms Amanda Daugherty, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Chiswell, Virginia. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blue Ridge Medical Management Corporation and her current practice location is
791 Fort Chiswell Rd, Fort Chiswell, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 637-6641.
Ms Amanda Daugherty is licensed to practice in Virginia (license number 0024174197) 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 1023551603.
Provider's Profile
| Full Name | Ms Amanda Daugherty |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 791 Fort Chiswell Rd, Fort Chiswell, Virginia |
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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:
- Ms Amanda Daugherty graduated from nursing school in 2016
NPI Data:
- NPI Number: 1023551603
- Provider Enumeration Date: 11/30/2016
- Last Update Date: 12/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 1759665334
- Enrollment ID: I20170227001211
Medical Identifiers
Medical identifiers for Ms Amanda Daugherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023551603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 0024174197 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Blue Ridge Medical Management Corporation | 9739099441 | 280 |
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. Ms Amanda Daugherty allows following entities to bill medicare on her behalf.
| Entity Name | Blue Ridge Medical Management Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326159567
PECOS PAC ID: 9739099441
Enrollment ID: O20040715001336 |
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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. Ms Amanda Daugherty 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 |
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Ms Amanda Daugherty, FNP
791 Fort Chiswell Rd,
Fort Chiswell, VA 24360-4139
Ph: (276) 637-6641 | Ms Amanda Daugherty, FNP
791 Fort Chiswell Rd,
Fort Chiswell, VA 24360-4139
Ph: (276) 637-6641 |
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