Amanda Lott, PMHNP-BC in Clarkston, WA - Medicare Nurse Practitioner

Amanda Lott, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clarkston, Washington. Her current practice location is 1119 Highland Ave Ste 10, Clarkston, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 758-1450.

Amanda Lott is licensed to practice in Washington (license number AP61506204) 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 1629847405.

Contact Information

	Amanda Lott, PMHNP-BC
	1119 Highland Ave Ste 10, Clarkston, WA 99403-2836
	(509) 758-1450
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Lott
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1119 Highland Ave Ste 10, Clarkston, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629847405
Provider Enumeration Date: 12/21/2023
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8123462827
Enrollment ID: I20240221002936

Medical Identifiers

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

Identifier	Type	State	Issuer
1629847405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61506204 (Washington)	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 Lott allows following entities to bill medicare on her behalf.

Entity Name	Tri-state Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040308001123

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 Lott 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 Lott, PMHNP-BC 1832 Grelle Ave, Lewiston, ID 83501-6035 Ph: (208) 553-7320	Amanda Lott, PMHNP-BC 1119 Highland Ave Ste 10, Clarkston, WA 99403-2836 Ph: (509) 758-1450

Reviews and Comments

Nurse Practitioner Nurses in Clarkston, WA

Jennifer Lynn Nicholas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1433 5th St, Clarkston, WA 99403 Phone: 509-758-5141 Fax: 509-758-5299
Brandon Lane Whitlock, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 5th St, Clarkston, WA 99403 Phone: 509-295-8398 Fax: 509-295-8416
Laure M Larsen, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1119 Highland Ave, Clarkston, WA 99403 Phone: 509-780-4450 Fax: 509-758-3700
Jennifer Seegmiller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1433 5th St, Clarkston, WA 99403 Phone: 509-758-5141
Brian Francis Ciezki, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1625 5th St, Clarkston, WA 99403 Phone: 509-295-8398 Fax: 509-295-8416
Angel D Klippenstein, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 Port Dr, Clarkston, WA 99403 Phone: 208-298-0720 Fax: 208-298-0727
Charmaine R Allen-johnson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 619 Diagonal St, Clarkston, WA 99403 Phone: 509-758-9003 Fax: 509-758-9001

Amanda Lott, PMHNP-BC - Medicare Nurse Practitioner in Clarkston, WA