Amanda Grace Bishop, is a medicare enrolled "Nurse Practitioner" physician in Mount Pleasant, South Carolina. Her current practice location is
1122 Chuck Dawley Blvd Ste 200, Mount Pleasant, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 884-8045.
Amanda Grace Bishop is licensed to practice in South Carolina (license number 29601) 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 1225864788.
Physician's Profile
Full Name | Amanda Grace Bishop |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1122 Chuck Dawley Blvd Ste 200, Mount Pleasant, South Carolina |
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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: 1225864788
- Provider Enumeration Date: 09/11/2024
- Last Update Date: 11/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971030073
- Enrollment ID: I20250102000058
Medical Identifiers
Medical identifiers for Amanda Grace Bishop such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225864788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 250155 (South Carolina) | Secondary |
363L00000X | Nurse Practitioner | 29601 (South Carolina) | 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 Grace Bishop allows following entities to bill medicare on her behalf.
Entity Name | Urology Associates Of Charleston Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699474205 PECOS PAC ID: 4082079496 Enrollment ID: O20230508000400 |
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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 Grace Bishop 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 Grace Bishop, 1122 Chuck Dawley Blvd Ste 200, Mount Pleasant, SC 29464-4183 Ph: (843) 884-8045 | Amanda Grace Bishop, 1122 Chuck Dawley Blvd Ste 200, Mount Pleasant, SC 29464-4183 Ph: (843) 884-8045 |
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