| Amanda Mackanos, PMHNP-BC | |
|
301 White Oak Rd, Somerset, PA 15501-8548 | |
| (814) 937-9315 | |
| (814) 937-9315 |
| Full Name | Amanda Mackanos |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 301 White Oak Rd, Somerset, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942003413 | NPI | - | NPPES |
| 104477680 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP032496 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| P360 Care Services Pllc Dba Psych 360 | 0244624633 | 24 |
| Indiana Healthcare Physician Services Inc | 5294723359 | 123 |
| Entity Name | Indiana Healthcare Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578523429 PECOS PAC ID: 5294723359 Enrollment ID: O20040927000404 |
| Entity Name | P360 Care Services Pllc Dba Psych 360 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750058202 PECOS PAC ID: 0244624633 Enrollment ID: O20220301001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Mackanos, PMHNP-BC 301 White Oak Rd, Somerset, PA 15501-8548 Ph: (814) 937-9315 | Amanda Mackanos, PMHNP-BC 301 White Oak Rd, Somerset, PA 15501-8548 Ph: (814) 937-9315 |
Tiffany Fuller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 329 S Pleasant Ave, Somerset, PA 15501 Phone: 814-445-3575 | |
Cheryl Spangler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4324 Glades Pike, Somerset, PA 15501 Phone: 814-445-4585 Fax: 814-443-2642 | |
Mrs. Tanya Jean Sargent, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4324 Glades Pike, Somerset, PA 15501 Phone: 814-445-4584 | |
Gail Ann Palko, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 329 S Pleasant Avenue, Somerset, PA 15501 Phone: 814-445-3575 Fax: 814-445-8039 | |
Rebecca Allison Serre, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 W Church St Ste 1, Somerset, PA 15501 Phone: 814-445-5099 Fax: 814-444-1852 | |
Aimee S Enos, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 229 S Kimberly Ave, Suite 200, Somerset, PA 15501 Phone: 814-445-3535 Fax: 814-445-3245 | |
Mrs. Paula Jean Griffith-isenman, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 329 S Pleasant Ave, Somerset, PA 15501 Phone: 814-445-3575 Fax: 814-445-8039 |