Amanda Fisher Craddock, in Brooklyn, NY - Medicare Nurse Practitioner

Amanda Fisher Craddock, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brooklyn, New York. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Itrust Wellness Group and her current practice location is 199 Schenck Ave Ph 6, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (864) 367-3161.

Amanda Fisher Craddock is licensed to practice in New York (license number F406770-01) 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 1275356206.

Contact Information

	Amanda Fisher Craddock,
	199 Schenck Ave Ph 6, Brooklyn, NY 11207-4580
	(864) 367-3161
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Fisher Craddock
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	199 Schenck Ave Ph 6, Brooklyn, New York
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 Fisher Craddock graduated from nursing school in 2024

NPI Data:

NPI Number: 1275356206
Provider Enumeration Date: 11/07/2024
Last Update Date: 05/05/2026

Medicare PECOS Information:

PECOS PAC ID: 9638607393
Enrollment ID: I20250108002046

Medical Identifiers

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

Identifier	Type	State	Issuer
1275356206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	F406770-01 (New York)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	29243 (South Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Itrust Wellness Group	0648532028	23

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 Fisher Craddock allows following entities to bill medicare on her behalf.

Entity Name	Itrust Wellness Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629517222 PECOS PAC ID: 0648532028 Enrollment ID: O20180322002663

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 Fisher Craddock 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 Fisher Craddock, 199 Schenck Ave Ph 6, Brooklyn, NY 11207-4580 Ph: (864) 367-3161	Amanda Fisher Craddock, 199 Schenck Ave Ph 6, Brooklyn, NY 11207-4580 Ph: (864) 367-3161

Reviews and Comments

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Amanda Fisher Craddock, - Medicare Nurse Practitioner in Brooklyn, NY