Amanda Bertholomey, in Ballwin, MO - Medicare Nurse Practitioner

Amanda Bertholomey, is a medicare enrolled "Nurse Practitioner - Family" in Ballwin, Missouri. Her current practice location is 452 Sovereign Ct, Ballwin, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 222-8699.

Amanda Bertholomey is licensed to practice in Missouri (license number 2014018635) 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 1871103093.

Contact Information

	Amanda Bertholomey,
	452 Sovereign Ct, Ballwin, MO 63011-4447
	(636) 222-8699
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Bertholomey
Gender	Female
Speciality	Nurse Practitioner - Family
Location	452 Sovereign Ct, Ballwin, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871103093
Provider Enumeration Date: 08/03/2020
Last Update Date: 09/08/2020

Medicare PECOS Information:

PECOS PAC ID: 3678983566
Enrollment ID: I20201104001509

Medical Identifiers

Medical identifiers for Amanda Bertholomey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871103093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2020026219 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	2014018635 (Missouri)	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. Amanda Bertholomey allows following entities to bill medicare on her behalf.

Entity Name	Mercy Aco Clinical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888

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. Amanda Bertholomey 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
Amanda Bertholomey, 215 Cedar Mountain Dr, Robertsville, MO 63072-2018 Ph: (314) 913-0306	Amanda Bertholomey, 452 Sovereign Ct, Ballwin, MO 63011-4447 Ph: (636) 222-8699

Reviews and Comments

Nurse Practitioner Nurses in Ballwin, MO

Dr. Mary Nancy Van Aman, DNP, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 816 Big Bend Woods Dr, Ballwin, MO 63021 Phone: 314-412-0898
Kristina H Flegel, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 241 Clarkson Rd, Ballwin, MO 63011 Phone: 636-256-6924
Ann Elizabeth Cribbin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 636-220-1117
Mrs. Teri Gibbs-kramper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13992 Manchester Rd, Ballwin, MO 63011 Phone: 314-687-2717
Brant Harber, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 639 Castle Ridge Dr, Ballwin, MO 63021 Phone: 314-210-9095
Ayia Abdeljabbar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 452 Sovereign Ct Ste A, Ballwin, MO 63011 Phone: 636-222-8699
Ms. Christina Michelle Blaesing, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15945 Clayton Rd Ste 320, Ballwin, MO 63011 Phone: 636-256-5350

Amanda Bertholomey, - Medicare Nurse Practitioner in Ballwin, MO