Amanda L Cook-grooms, - Medicare Nurse Practitioner in Winchester, OH

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Amanda L Cook-grooms, is a medicare enrolled "Nurse Practitioner - Acute Care" in Winchester, Ohio. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Physician Services Pc and her current practice location is 244 Polley Rd, Winchester, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 725-4275.

Amanda L Cook-grooms is licensed to practice in Ohio (license number APRN.CNP.0033413) 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 1699475822.

Contact Information

Amanda L Cook-grooms,
244 Polley Rd,
Winchester, OH 45697-9786
(937) 725-4275
Not Available

Map and Direction




Provider's Profile

Full NameAmanda L Cook-grooms
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location244 Polley Rd, Winchester, Ohio
Accepts Medicare AssignmentsYes. 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 L Cook-grooms graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1699475822
  • Provider Enumeration Date: 03/07/2023
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254785298
  • Enrollment ID: I20240314003773

Medical Identifiers

Medical identifiers for Amanda L Cook-grooms such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699475822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APRN.CNP.0033413 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Meadowview Regional Medical CenterMaysville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Physician Services Pc0042307852529

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 L Cook-grooms allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20090715000150

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 L Cook-grooms 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 L Cook-grooms,
244 Polley Rd,
Winchester, OH 45697-9786

Ph: (937) 725-4274		Amanda L Cook-grooms,
244 Polley Rd,
Winchester, OH 45697-9786

Ph: (937) 725-4275

Reviews and Comments


Nurse Practitioner Nurses in Winchester, OH

Jessica Marie Lainhart, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19262 State Route 136, Winchester, OH 45697
Phone: 937-695-0770    
Marcia L Silcott, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 18848 State Route 136, Winchester, OH 45697
Phone: 937-205-6667    Fax: 937-504-5106
Katie Lee Lawrence,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19262 State Route 136, Winchester, OH 45697
Phone: 937-550-3657    Fax: 937-386-8016

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.