Amanda Diane Price, CRNP is a medicare enrolled "Family Medicine" physician in Waterloo, Alabama. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Russellville Hospital Inc., Petersville Family Care, Llc and her current practice location is
314 Main St, Waterloo, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 629-0033.
Amanda Diane Price is licensed to practice in Alabama (license number 1-107250) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1023723053.
Physician's Profile
| Full Name | Amanda Diane Price |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 314 Main St, Waterloo, Alabama |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amanda Diane Price graduated from medical school in 2022
NPI Data:
- NPI Number: 1023723053
- Provider Enumeration Date: 01/13/2023
- Last Update Date: 06/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 5395118582
- Enrollment ID: I20230309001299
Medical Identifiers
Medical identifiers for Amanda Diane Price such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023723053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 1-107250 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Russellville Hospital Inc. | 3476878489 | 70 |
| Petersville Family Care, Llc | 0648522243 | 2 |
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 Diane Price allows following entities to bill medicare on her behalf.
| Entity Name | Petersville Family Care, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477040483
PECOS PAC ID: 0648522243
Enrollment ID: O20181101000689 |
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| Entity Name | Russellville Hospital Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780232314
PECOS PAC ID: 3476878489
Enrollment ID: O20191018002761 |
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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 Diane Price 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 Diane Price, CRNP
314 Main St,
Waterloo, AL 35677-4401
Ph: (256) 629-0033 | Amanda Diane Price, CRNP
314 Main St,
Waterloo, AL 35677-4401
Ph: (256) 629-0033 |
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