Amanda C Ivey, FNP-C - Medicare Nurse Practitioner in Lake Wylie, SC

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Amanda C Ivey, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lake Wylie, South Carolina. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence House Calls Llc and her current practice location is 1200 Village Harbor Dr, Lake Wylie, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 631-2858.

Amanda C Ivey is licensed to practice in South Carolina (license number 19257) 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 1770970873.

Contact Information

Amanda C Ivey, FNP-C
1200 Village Harbor Dr,
Lake Wylie, SC 29710-9092
(803) 631-2858
(803) 631-2862

Map and Direction




Provider's Profile

Full NameAmanda C Ivey
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1200 Village Harbor Dr, Lake Wylie, South Carolina
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda C Ivey graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1770970873
  • Provider Enumeration Date: 04/16/2015
  • Last Update Date: 04/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9234434143
  • Enrollment ID: I20160301001299

Medical Identifiers

Medical identifiers for Amanda C Ivey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770970873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 19257 (South Carolina)Primary
363LF0000XNurse Practitioner - Family 5008474 (North Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Home HealthPiedmont, SCHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence House Calls Llc175952825017

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 C Ivey allows following entities to bill medicare on her behalf.
Entity NameCaromont Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568641165
PECOS PAC ID: 3577476258
Enrollment ID: O20041021000318
Entity NameProvidence House Calls Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689912495
PECOS PAC ID: 1759528250
Enrollment ID: O20130430000366
Entity NameElite Patient Care Of South Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316477896
PECOS PAC ID: 1951672617
Enrollment ID: O20170731000866

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 C Ivey 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 AddressPractice Location Address
Amanda C Ivey, FNP-C
1200 Village Harbor Dr,
Lake Wylie, SC 29710-9092

Ph: (803) 631-2858		Amanda C Ivey, FNP-C
1200 Village Harbor Dr,
Lake Wylie, SC 29710-9092

Ph: (803) 631-2858

Reviews and Comments


Nurse Practitioner Nurses in Lake Wylie, SC

Peter A. Bertelli, MSN, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 244 Latitude Ln Ste 104, Lake Wylie, SC 29710
Phone: 803-809-3184    Fax: 803-615-4662
Jenna Carter, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4609 Charlotte Hwy, Lake Wylie, SC 29710
Phone: 803-228-4038    
Mrs. Freedom Lee Proctor, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1516 Village Harbor Dr, Lake Wylie, SC 29710
Phone: 803-752-4200    Fax: 803-752-4300

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.