Amanda Lauren Mattingly, APRN - Medicare Nurse Practitioner in Campbellsville, KY

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Amanda Lauren Mattingly, APRN is a medicare enrolled "Nurse Practitioner - Family" in Campbellsville, Kentucky. Her current practice location is 102 Winston Way, Campbellsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 789-0034.

Amanda Lauren Mattingly is licensed to practice in Kentucky (license number 3016505) 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 1194495168.

Contact Information

Amanda Lauren Mattingly, APRN
102 Winston Way,
Campbellsville, KY 42718-4990
(270) 789-0034
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Lauren Mattingly
GenderFemale
SpecialityNurse Practitioner - Family
Location102 Winston Way, Campbellsville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194495168
  • Provider Enumeration Date: 09/20/2021
  • Last Update Date: 09/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406242585
  • Enrollment ID: I20220330001501

Medical Identifiers

Medical identifiers for Amanda Lauren Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194495168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3016505 (Kentucky)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 Lauren Mattingly allows following entities to bill medicare on her behalf.
Entity NameCommonwealth Pain Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306280177
PECOS PAC ID: 0941441919
Enrollment ID: O20130802000577
Entity NameOne Cross Health Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942606454
PECOS PAC ID: 2466790472
Enrollment ID: O20200228000548

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 Lauren Mattingly 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 Lauren Mattingly, APRN
4770 Saint Rose Rd,
Lebanon, KY 40033-9167

Ph: (270) 692-8759		Amanda Lauren Mattingly, APRN
102 Winston Way,
Campbellsville, KY 42718-4990

Ph: (270) 789-0034

Reviews and Comments


Nurse Practitioner Nurses in Campbellsville, KY

Ashlie Marie Judd, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 125 Greenbriar Dr, Campbellsville, KY 42718
Phone: 270-789-6166    Fax: 270-789-6198
Maci Mcqueary, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 410 Hotchkiss St, Campbellsville, KY 42718
Phone: 270-465-0191    Fax: 270-465-0463
Samantha Shipp,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718
Phone: 270-789-5794    
Dorothy Marie Dudley, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718
Phone: 270-789-2788    Fax: 502-368-9820
Jason Wright, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 Greenbriar Dr, Campbellsville, KY 42718
Phone: 270-465-3595    
Jessica Nicole Browning, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1698 Old Lebanon Rd Ste 2a, Campbellsville, KY 42718
Phone: 270-789-0359    Fax: 270-789-1756

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.