Amanda Anderson, is a medicare enrolled "Nurse Practitioner" physician in Ann Arbor, Michigan. Her current practice location is
2301 S Huron Pkwy Ste 2b, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 725-8802.
Amanda Anderson is licensed to practice in Michigan (license number 4704287430) 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 1518474402.
Physician's Profile
Full Name | Amanda Anderson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 2301 S Huron Pkwy Ste 2b, Ann Arbor, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518474402
- Provider Enumeration Date: 01/02/2018
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597024364
- Enrollment ID: I20180124001753
Medical Identifiers
Medical identifiers for Amanda Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518474402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4704287430 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | 4704287430 (Michigan) | 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 Anderson allows following entities to bill medicare on her behalf.
Entity Name | Lifetime Urgent Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467983817 PECOS PAC ID: 3375820806 Enrollment ID: O20170510000528 |
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Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
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Entity Name | Westlake Consultation Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962032227 PECOS PAC ID: 4284057662 Enrollment ID: O20200701001955 |
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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 Anderson 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 Anderson, 181 Emmett St W, Battle Creek, MI 49037-2963 Ph: (269) 966-2600 | Amanda Anderson, 2301 S Huron Pkwy Ste 2b, Ann Arbor, MI 48104-5133 Ph: (734) 725-8802 |
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