Amber Dawn Raeth, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Seymour, Indiana. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is
1202 E Tipton St, Seymour, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 627-4933.
Amber Dawn Raeth is licensed to practice in Indiana (license number 71011525A) 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 1043988975.
Physician's Profile
Full Name | Amber Dawn Raeth |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner |
---|
Experience | 3 Years |
---|
Location | 1202 E Tipton St, Seymour, Indiana |
---|
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amber Dawn Raeth graduated from medical school in 2021
NPI Data:
- NPI Number: 1043988975
- Provider Enumeration Date: 09/03/2021
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193113173
- Enrollment ID: I20211025000379
Medical Identifiers
Medical identifiers for Amber Dawn Raeth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043988975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 71011525A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71011525A (Indiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Fast Pace Medical Clinic Pllc | 5395881841 | 510 |
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. Amber Dawn Raeth allows following entities to bill medicare on her behalf.
Entity Name | Fast Pace Medical Clinic Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
---|
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. Amber Dawn Raeth 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 |
Amber Dawn Raeth, NP 1054 E Base Rd, Greensburg, IN 47240-7744 Ph: (812) 593-6780 | Amber Dawn Raeth, NP 1202 E Tipton St, Seymour, IN 47274-3540 Ph: (812) 627-4933 |
Reviews and Comments