Amanda Lee, in Caldwell, ID - Medicare Pediatrics

Amanda Lee, is a medicare enrolled "Pediatrics" physician in Caldwell, Idaho. Her current practice location is 1620 S Kimball Ave, Caldwell, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 505-2950.

Amanda Lee is licensed to practice in Idaho (license number 0-1639) 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 1154647261.

Contact Information

	Amanda Lee,
	1620 S Kimball Ave, Caldwell, ID 83605-4547
	(208) 505-2950
	Not Available

Map and Direction

Physician's Profile

Full Name	Amanda Lee
Gender	Female
Speciality	Pediatrics
Location	1620 S Kimball Ave, Caldwell, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154647261
Provider Enumeration Date: 04/14/2010
Last Update Date: 04/15/2022

Medicare PECOS Information:

PECOS PAC ID: 0446493464
Enrollment ID: I20220427001465

Medical Identifiers

Medical identifiers for Amanda Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154647261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A-1749-13 (New Mexico)	Secondary
208000000X	Pediatrics	OP60471366 (Washington)	Secondary
208000000X	Pediatrics	0-1639 (Idaho)	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 Lee allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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 Lee 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 Lee, 190 E Bannock St, Boise, ID 83712-6241 Ph: () -	Amanda Lee, 1620 S Kimball Ave, Caldwell, ID 83605-4547 Ph: (208) 505-2950

Reviews and Comments

Pediatrics Doctors in Caldwell, ID

Jee Hur, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E Elm Street, Ste 100, Caldwell, ID 83605 Phone: 208-459-7415 Fax: 208-453-3307
Natasha Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E Elm, Ste 100, Caldwell, ID 83605 Phone: 208-459-7415 Fax: 208-453-3307
Merle L. Keller Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E. Elm Ste 100, Caldwell, ID 83605 Phone: 208-302-7100 Fax: 208-302-7155
Matthew S Brown, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 712 Aviation Way, Caldwell, ID 83605 Phone: 208-302-7100 Fax: 208-302-7189
Timothy Curtis Borup, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 712 Aviation Way, Caldwell, ID 83605 Phone: 208-302-7100 Fax: 208-302-7189
Kaysea Lee Studioso-hatch, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 712 Aviation Way, Caldwell, ID 83605 Phone: 208-302-7100 Fax: 208-302-7189

Amanda Lee, - Medicare Pediatrics in Caldwell, ID