Amanda Mariah Munden, in Englewood, FL - Medicare Nurse Practitioner

Amanda Mariah Munden, is a medicare enrolled "Nurse Practitioner - Family" in Englewood, Florida. Her current practice location is 3000 S Mccall Rd, Englewood, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 841-4200.

Amanda Mariah Munden is licensed to practice in Florida (license number APRN11024545) 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 1063197341.

Contact Information

	Amanda Mariah Munden,
	3000 S Mccall Rd, Englewood, FL 34224-8616
	(941) 841-4200
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Mariah Munden
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3000 S Mccall Rd, Englewood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063197341
Provider Enumeration Date: 06/15/2023
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 0042670259
Enrollment ID: I20230720000039

Medical Identifiers

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

Identifier	Type	State	Issuer
1063197341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11024545 (Florida)	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 Mariah Munden allows following entities to bill medicare on her behalf.

Entity Name	Millennium Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338

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 Mariah Munden 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 Mariah Munden, 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774	Amanda Mariah Munden, 3000 S Mccall Rd, Englewood, FL 34224-8616 Ph: (941) 841-4200

Reviews and Comments

Nurse Practitioner Nurses in Englewood, FL

Tiffany Kristine Lamarca, FNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 Englewood Rd Ste 5, Englewood, FL 34223 Phone: 941-473-8881 Fax: 941-475-0801
Monic Menard, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2061 Englewood Rd, Suite 4, Englewood, FL 34223 Phone: 941-473-8881 Fax: 941-475-0801
Devon Smith, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-548-1716
Ashley Bourcier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Pine St Ste 111a, Englewood, FL 34223 Phone: 941-681-2042 Fax: 941-208-5982
Melissa Jenkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Drury Ln, Englewood, FL 34224 Phone: 313-806-2619
Rachel M Gregoroff, C.R.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 579 S Indiana Ave Ste A, Englewood, FL 34223 Phone: 941-460-1341 Fax: 941-460-1345

Amanda Mariah Munden, - Medicare Nurse Practitioner in Englewood, FL