Amanda Lyn Vandenburg, APRN-CNP is a medicare enrolled "Nurse Practitioner" in Boswell, Oklahoma. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pushmataha Family Medical Center, Inc and her current practice location is
415 6th Street, Boswell, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 566-2530.
Amanda Lyn Vandenburg is licensed to practice in Oklahoma (license number 73707) 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 1528430998.
Provider's Profile
Full Name | Amanda Lyn Vandenburg |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 9 Years |
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Location | 415 6th Street, Boswell, Oklahoma |
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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 Lyn Vandenburg graduated from nursing school in 2015
NPI Data:
- NPI Number: 1528430998
- Provider Enumeration Date: 10/26/2015
- Last Update Date: 10/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 0648570010
- Enrollment ID: I20151208001502
Medical Identifiers
Medical identifiers for Amanda Lyn Vandenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528430998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 73707 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Pushmataha Family Medical Center, Inc | 9537189261 | 12 |
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 Lyn Vandenburg allows following entities to bill medicare on her behalf.
Entity Name | Pushmataha Family Medical Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891882676 PECOS PAC ID: 9537189261 Enrollment ID: O20081114000464 |
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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 Lyn Vandenburg 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 Lyn Vandenburg, APRN-CNP Po Box 219, Clayton, OK 74536-0219 Ph: (918) 569-4143 | Amanda Lyn Vandenburg, APRN-CNP 415 6th Street, Boswell, OK 74727-0000 Ph: (580) 566-2530 |
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