Rachael Lynn Amazendes, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Miamisburg, Ohio. Her current practice location is
9049 Springboro Pike, Miamisburg, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 759-0545.
Rachael Lynn Amazendes is licensed to practice in Ohio (license number APRN.CNP.0037788) 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 1144047861.
Physician's Profile
Full Name | Rachael Lynn Amazendes |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 9049 Springboro Pike, Miamisburg, Ohio |
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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: 1144047861
- Provider Enumeration Date: 09/24/2024
- Last Update Date: 02/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082134358
- Enrollment ID: I20250218001614
Medical Identifiers
Medical identifiers for Rachael Lynn Amazendes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144047861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 2024060682 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0037788 (Ohio) | 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. Rachael Lynn Amazendes allows following entities to bill medicare on her behalf.
Entity Name | Woodstream Wellness |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265001234 PECOS PAC ID: 8527462506 Enrollment ID: O20210812003526 |
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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. Rachael Lynn Amazendes 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 |
Rachael Lynn Amazendes, PMHNP 9049 Springboro Pike, Miamisburg, OH 45342-4926 Ph: () - | Rachael Lynn Amazendes, PMHNP 9049 Springboro Pike, Miamisburg, OH 45342-4926 Ph: (937) 759-0545 |
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