Amanda Crandell, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Kurtistown, Hawaii. Her current practice location is
17-182b Middle Road, Kurtistown, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(979) 264-5988.
Amanda Crandell is licensed to practice in Hawaii (license number APRN-3247) 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 1366065542.
Provider's Profile
| Full Name | Amanda Crandell |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 17-182b Middle Road, Kurtistown, Hawaii |
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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: 1366065542
- Provider Enumeration Date: 05/22/2020
- Last Update Date: 03/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072909027
- Enrollment ID: I20230705003583
Medical Identifiers
Medical identifiers for Amanda Crandell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366065542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | AP140180 (Texas) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | APRN-3247 (Hawaii) | 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 Crandell allows following entities to bill medicare on her behalf.
| Entity Name | Big Island Pain Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255683785
PECOS PAC ID: 1254583925
Enrollment ID: O20121203000141 |
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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. Amanda Crandell 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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Amanda Crandell, APRN, FNP-C
Po Box 422,
Kurtistown, HI 96760-0422
Ph: (979) 264-5988 | Amanda Crandell, APRN, FNP-C
17-182b Middle Road,
Kurtistown, HI 96760
Ph: (979) 264-5988 |
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