Amie Lee Bevis, NP in Tyler, TX - Medicare Nurse Practitioner

Amie Lee Bevis, NP is a medicare enrolled "Nurse Practitioner" in Tyler, Texas. Her current practice location is 2210 Three Lakes Pkwy Ste 100, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 747-4050.

Amie Lee Bevis is licensed to practice in Texas (license number 7089221) 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 1225765795.

Contact Information

	Amie Lee Bevis, NP
	2210 Three Lakes Pkwy Ste 100, Tyler, TX 75703-0642
	(903) 747-4050
	(903) 747-4075

Map and Direction

Provider's Profile

Full Name	Amie Lee Bevis
Gender	Female
Speciality	Nurse Practitioner
Location	2210 Three Lakes Pkwy Ste 100, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225765795
Provider Enumeration Date: 08/04/2022
Last Update Date: 08/04/2022

Medicare PECOS Information:

PECOS PAC ID: 9032594767
Enrollment ID: I20220916001502

Medical Identifiers

Medical identifiers for Amie Lee Bevis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225765795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	7089221 (Texas)	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. Amie Lee Bevis allows following entities to bill medicare on her behalf.

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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. Amie Lee Bevis 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
Amie Lee Bevis, NP 2210 Three Lakes Pkwy Ste 100, Tyler, TX 75703-0642 Ph: (903) 747-4050	Amie Lee Bevis, NP 2210 Three Lakes Pkwy Ste 100, Tyler, TX 75703-0642 Ph: (903) 747-4050

Reviews and Comments

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Amie Lee Bevis, NP - Medicare Nurse Practitioner in Tyler, TX