Amanda Mackanos, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mountain View, Hawaii. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice P360 Care Services Pllc Dba Psych 360, Indiana Healthcare Physician Services Inc and her current practice location is
18-1228 Kona Street, Mountain View, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 797-2621.
Amanda Mackanos is licensed to practice in Pennsylvania (license number SP032496) 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 1942003413.
Provider's Profile
| Full Name | Amanda Mackanos |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 18-1228 Kona Street, Mountain View, Hawaii |
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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. |
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Medical Education and Training:
- Amanda Mackanos graduated from nursing school in 2024
NPI Data:
- NPI Number: 1942003413
- Provider Enumeration Date: 03/31/2025
- Last Update Date: 01/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 9032637814
- Enrollment ID: I20250523001926
Medical Identifiers
Medical identifiers for Amanda Mackanos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942003413 | NPI | - | NPPES |
| 104477680 | Medicaid | PA | |
| 12097 | Medicaid | HI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP032496 (Pennsylvania) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10045008 (Oregon) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN-5157 (Hawaii) | Secondary |
Group Practice Association
| 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 |
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 Mackanos allows following entities to bill medicare on her behalf.
| Entity Name | Indiana Healthcare Physician Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578523429
PECOS PAC ID: 5294723359
Enrollment ID: O20040927000404 |
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| Entity Name | P360 Care Services Pllc Dba Psych 360 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750058202
PECOS PAC ID: 0244624633
Enrollment ID: O20220301001267 |
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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 Mackanos 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 |
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Amanda Mackanos, PMHNP-BC
301 White Oak Rd,
Somerset, PA 15501-8548
Ph: (814) 937-9315 | Amanda Mackanos, PMHNP-BC
18-1228 Kona Street,
Mountain View, HI 96771
Ph: (808) 797-2621 |
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