Amanda Leigh Smith, PA-C is a medicare enrolled "Physician Assistant" in Theresa, New York. Her current practice location is
34830 Eddy Rd, Theresa, New York. You can reach out to her office (for appointments etc.) via phone at
(570) 447-5411.
Amanda Leigh Smith is licensed to practice in New York (license number 012932) 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 1376797563.
Provider's Profile
| Full Name | Amanda Leigh Smith |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 34830 Eddy Rd, Theresa, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376797563
- Provider Enumeration Date: 11/14/2008
- Last Update Date: 11/14/2008
Medicare PECOS Information:
- PECOS PAC ID: 2961566468
- Enrollment ID: I20090202000132
Medical Identifiers
Medical identifiers for Amanda Leigh Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376797563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 012932 (New York) | Primary |
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 Smith 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 Smith, PA-C 34830 Eddy Rd, Theresa, NY 13691-2218 Ph: (570) 447-5411 | Amanda Leigh Smith, PA-C 34830 Eddy Rd, Theresa, NY 13691-2218 Ph: (570) 447-5411 |
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