Amanda D Copenhaver, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Raymore, Missouri. Her current practice location is
712 S Fox Ridge Dr, Raymore, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 590-2587.
Amanda D Copenhaver is licensed to practice in Kansas (license number 53-80080-032) 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 1689264335.
Physician's Profile
Full Name | Amanda D Copenhaver |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 712 S Fox Ridge Dr, Raymore, Missouri |
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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: 1689264335
- Provider Enumeration Date: 01/26/2021
- Last Update Date: 03/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577958453
- Enrollment ID: I20220310001856
Medical Identifiers
Medical identifiers for Amanda D Copenhaver such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689264335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2021002930 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2021002930 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 53-80080-032 (Kansas) | 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 D Copenhaver allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Medical Associates Of Kansas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780261701 PECOS PAC ID: 8628487998 Enrollment ID: O20210518000551 |
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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 D Copenhaver 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 D Copenhaver, FNP-C 712 S Fox Ridge Dr, Raymore, MO 64083-9079 Ph: (816) 590-2587 | Amanda D Copenhaver, FNP-C 712 S Fox Ridge Dr, Raymore, MO 64083-9079 Ph: (816) 590-2587 |
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