Paulina Amoah, is a medicare enrolled "Nurse Practitioner - Family" in Brookneal, Virginia. Her current practice location is
104 Carolina Ave, Brookneal, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 376-2325.
Paulina Amoah is licensed to practice in Virginia (license number 0024190353) 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 1467112821.
Provider's Profile
| Full Name | Paulina Amoah |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 104 Carolina Ave, Brookneal, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467112821
- Provider Enumeration Date: 12/28/2021
- Last Update Date: 09/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234383456
- Enrollment ID: I20240925002224
Medical Identifiers
Medical identifiers for Paulina Amoah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467112821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN357353 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024190353 (Virginia) | 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. Paulina Amoah allows following entities to bill medicare on her behalf.
| Entity Name | Centra Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649228966
PECOS PAC ID: 4789606088
Enrollment ID: O20051230000147 |
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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. Paulina Amoah 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 |
|---|
Paulina Amoah,
655 S Willow St Ste 128,
Manchester, NH 03103-5723
Ph: () - | Paulina Amoah,
104 Carolina Ave,
Brookneal, VA 24528-2643
Ph: (434) 376-2325 |
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