Amanda Leigh Perry, AG-ACNP in Saint Marys, OH

Amanda Leigh Perry, AG-ACNP is a medicare enrolled "Nurse Practitioner" in Saint Marys, Ohio. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jtdm Family Practice Llc and her current practice location is 200 Saint Clair Ave Ste 101, Saint Marys, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 394-9522.

Amanda Leigh Perry is licensed to practice in Ohio (license number APRN.CNP.0034318) 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 1265116610.

Contact Information

	Amanda Leigh Perry, AG-ACNP
	200 Saint Clair Ave Ste 101, Saint Marys, OH 45885-2400
	(419) 394-9522
	(419) 394-9523

Map and Direction

Provider's Profile

Full Name	Amanda Leigh Perry
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	200 Saint Clair Ave Ste 101, Saint Marys, Ohio
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 Leigh Perry graduated from nursing school in 2023

NPI Data:

NPI Number: 1265116610
Provider Enumeration Date: 06/14/2023
Last Update Date: 02/13/2025

Medicare PECOS Information:

PECOS PAC ID: 1355703729
Enrollment ID: I20230816003735

Medical Identifiers

Medical identifiers for Amanda Leigh Perry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265116610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN.CNP.0034318 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grand Lake Health System	Saint marys, OH	Hospital
Mercer County Joint Township Community Hospital	Coldwater, OH	Hospital
Mercy Health-st Rita's Medical Center	Lima, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jtdm Family Practice Llc	2163415837	43

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 Leigh Perry allows following entities to bill medicare on her behalf.

Entity Name	Jtdm Family Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863

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 Leigh Perry 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 Leigh Perry, AG-ACNP 1140 S Knoxville Ave Ste D, Saint Marys, OH 45885-2609 Ph: (419) 300-1129	Amanda Leigh Perry, AG-ACNP 200 Saint Clair Ave Ste 101, Saint Marys, OH 45885-2400 Ph: (419) 394-9522

Reviews and Comments

Nurse Practitioner Nurses in Saint Marys, OH

Alex Michael Rowen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Saint Clair Ave, Saint Marys, OH 45885 Phone: 419-394-3335
Jacqueline S Shriver, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1140 S Knoxville Ave Ste B, Saint Marys, OH 45885 Phone: 419-394-7314 Fax: 419-394-7313
Kimberly Lynn Sadler, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 East Greenville Rd, Saint Marys, OH 45885 Phone: 419-394-3331 Fax: 419-394-3330
Brittany Faye Schlarman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 S Knoxville Ave Ste C, Saint Marys, OH 45885 Phone: 419-394-9595 Fax: 419-394-9532
Jayaben D Patel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885 Phone: 419-394-9959 Fax: 419-394-0255
Mrs. Kimberly Wiener, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Saint Clair Ave, Saint Marys, OH 45885 Phone: 419-890-7970 Fax: 419-394-9556

Amanda Leigh Perry, AG-ACNP - Medicare Nurse Practitioner in Saint Marys, OH