Amy E Fathman, CFNP is a medicare enrolled "Nurse Practitioner" in Taylor Mill, Kentucky. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group, Inc and her current practice location is
5100 Peace Way, Taylor Mill, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 491-2855.
Amy E Fathman is licensed to practice in Kentucky (license number 3003600) 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 1003837352.
Provider's Profile
Full Name | Amy E Fathman |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 23 Years |
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Location | 5100 Peace Way, Taylor Mill, Kentucky |
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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:
- Amy E Fathman graduated from nursing school in 2001
NPI Data:
- NPI Number: 1003837352
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 04/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729087242
- Enrollment ID: I20200601001619
Medical Identifiers
Medical identifiers for Amy E Fathman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003837352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 3003600 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Summit Medical Group, Inc | 2163326240 | 693 |
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. Amy E Fathman allows following entities to bill medicare on her behalf.
Entity Name | Summit Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881026169 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
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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. Amy E Fathman 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 |
Amy E Fathman, CFNP Po Box 635283, Cincinnati, OH 45263-2498 Ph: (859) 491-2855 | Amy E Fathman, CFNP 5100 Peace Way, Taylor Mill, KY 41015-3506 Ph: (859) 491-2855 |
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