Amanda M Nellis, PA-C - Medicare Physician Assistant in Hudson, WI

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Amanda M Nellis, PA-C is a medicare enrolled "Physician Assistant" in Hudson, Wisconsin. Her current practice location is 403 Stageline Rd, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 531-6800.

Amanda M Nellis is licensed to practice in Wisconsin (license number ) 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 1396978847.

Contact Information

Amanda M Nellis, PA-C
403 Stageline Rd,
Hudson, WI 54016-7848
(715) 531-6800
(715) 531-6801

Map and Direction




Provider's Profile

Full NameAmanda M Nellis
GenderFemale
SpecialityPhysician Assistant
Location403 Stageline Rd, Hudson, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396978847
  • Provider Enumeration Date: 09/01/2009
  • Last Update Date: 09/01/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 2769520014
  • Enrollment ID: I20101130000202

Medical Identifiers

Medical identifiers for Amanda M Nellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396978847NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (Wisconsin)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 M Nellis allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811077175
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameGlencoe Regional Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508885633
PECOS PAC ID: 1759292980
Enrollment ID: O20031119000252
Entity NameGlencoe Regional Health Services
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1508885633
PECOS PAC ID: 1759292980
Enrollment ID: O20060504000699

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 M Nellis 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 M Nellis, PA-C
403 Stageline Rd,
Hudson, WI 54016-7848

Ph: (715) 531-6800		Amanda M Nellis, PA-C
403 Stageline Rd,
Hudson, WI 54016-7848

Ph: (715) 531-6800

Reviews and Comments


Physician Assistant Nurses in Hudson, WI

Raelyn Robert,
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Phone: 651-485-5243    
Cynthia J Bast, PAC
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Phone: 715-531-6802    Fax: 715-531-6803
Mr. Alexander Bettich, PA
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Tammie J Haveman,
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Practice Location: 405 Stageline Rd, Hudson, WI 54016
Phone: 715-531-6000    
Melissa Jane O'keefe, PA-C
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Practice Location: 2651 Hillcrest Drive, Hudson, WI 54016
Phone: 715-531-6800    Fax: 715-531-6801
Ms. Holly J Reynolds Buchen, PA
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Practice Location: 1610 Maxwell Dr, Hudson, WI 54016
Phone: 715-389-5278    
Saren Croker, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 403 Stageline Rd, Hudson, WI 54016
Phone: 715-531-6700    

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.