Ms Amy Jeanette Dievendorf, APRN - Medicare Nurse Practitioner in Columbia, SC

Ms Amy Jeanette Dievendorf, APRN is a medicare enrolled "Nurse Practitioner" in Columbia, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Elite Patient Care Of South Carolina Pc and her current practice location is 1655 Bernardin Avenue, Suite - 350, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 253-7575.

Ms Amy Jeanette Dievendorf is licensed to practice in South Carolina (license number 4341SC) 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 1871802686.

Contact Information

Ms Amy Jeanette Dievendorf, APRN
1655 Bernardin Avenue, Suite - 350,
Columbia, SC 29204
(803) 253-7575
(803) 253-7571

Map and Direction




Provider's Profile

Full NameMs Amy Jeanette Dievendorf
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location1655 Bernardin Avenue, Columbia, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Amy Jeanette Dievendorf attended and graduated from University Of South Carolina School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1871802686
  • Provider Enumeration Date: 09/28/2010
  • Last Update Date: 01/19/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7315123031
  • Enrollment ID: I20110513000560

Medical Identifiers

Medical identifiers for Ms Amy Jeanette Dievendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871802686NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4341SC (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Elite Patient Care Of South Carolina Pc1951672617131

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 Amy Jeanette Dievendorf allows following entities to bill medicare on her behalf.
Entity NameCh Specialty Services Sc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275915522
PECOS PAC ID: 6608182993
Enrollment ID: O20150901002450
Entity NameProvidence Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285253336
PECOS PAC ID: 9638475627
Enrollment ID: O20160328001916
Entity NameElite Patient Care Of South Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316477896
PECOS PAC ID: 1951672617
Enrollment ID: O20170731000866

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 Amy Jeanette Dievendorf 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 AddressPractice Location Address
Ms Amy Jeanette Dievendorf, APRN
330 Seven Springs Way, Suite - 425,
Brentwood, TN 37027-5098

Ph: (615) 920-7878
Ms Amy Jeanette Dievendorf, APRN
1655 Bernardin Avenue, Suite - 350,
Columbia, SC 29204

Ph: (803) 253-7575

Reviews and Comments


Nurse Practitioner Nurses in Columbia, SC

Mr. Joseph Crawford Iii, FNP
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Practice Location: 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203
Phone: 803-256-6511    
Richard Hall Iii, APRN, FNP-BC
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Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203
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Latonya Brailsford, NP
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Laketa D Riley, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 111 Doctor Cir, Columbia, SC 29203
Phone: 800-491-0909    
Jenny O'neill, FNP-BC
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Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205
Phone: 803-457-8125    Fax: 803-457-8129
Sarah Elizabeth Wilson, PNP
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Medicare: Medicare Enrolled
Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203
Phone: 803-434-3950    Fax: 803-434-3496
Miss Karen Mccain, NURSE PRACTITONER
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Medicare: Accepting Medicare Assignments
Practice Location: 111 Doctor Cir, Columbia, SC 29203
Phone: 800-491-0909    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.