Amanda Le Booth, MD is a medicare enrolled "Family Medicine" physician in Lee's Summit, Missouri. She went to Southern Illinois University School Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Vohra Wound Physicians Of Fl Llc and her current practice location is
760 Nw Blue Parkway, Lee's Summit, Missouri. You can reach out to her office (for appointments etc.) via phone at
(913) 297-7472.
Amanda Le Booth is licensed to practice in Missouri (license number 2018024915) 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 1750763389.
Physician's Profile
| Full Name | Amanda Le Booth |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 10 Years |
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| Location | 760 Nw Blue Parkway, Lee's Summit, Missouri |
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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:
- Amanda Le Booth attended and graduated from Southern Illinois University School Of Medicine in 2015
NPI Data:
- NPI Number: 1750763389
- Provider Enumeration Date: 06/19/2015
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608189824
- Enrollment ID: I20241205002345
Medical Identifiers
Medical identifiers for Amanda Le Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750763389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 11018226A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 0441255 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | 2018024915 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Vohra Wound Physicians Of Fl Llc | 6406039882 | 65 |
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 Le Booth allows following entities to bill medicare on her behalf.
| Entity Name | Vohra Wound Physicians Of Fl Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407146707 PECOS PAC ID: 6406039882 Enrollment ID: O20140529000664 |
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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 Le Booth 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 Le Booth, MD 16801 Haskins St, Overland Park, KS 66221-7143 Ph: (309) 825-7974 | Amanda Le Booth, MD 760 Nw Blue Parkway, Lee's Summit, MO 64086-5713 Ph: (913) 297-7472 |
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