Amanda Mathews Vicznesky, PA - Medicare Physician Assistant in Austell, GA

Amanda Mathews Vicznesky, PA is a medicare enrolled "Physician Assistant" in Austell, Georgia. Her current practice location is 3950 Austell Rd, Austell, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 732-4000.

Amanda Mathews Vicznesky is licensed to practice in Georgia (license number 9456) 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 1174177752.

Contact Information

Amanda Mathews Vicznesky, PA
3950 Austell Rd,
Austell, GA 30106-1121
(470) 732-4000
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Mathews Vicznesky
GenderFemale
SpecialityPhysician Assistant
Location3950 Austell Rd, Austell, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174177752
  • Provider Enumeration Date: 07/31/2019
  • Last Update Date: 08/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416389341
  • Enrollment ID: I20191114003413

Medical Identifiers

Medical identifiers for Amanda Mathews Vicznesky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174177752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 9456 (Georgia)Primary

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 Mathews Vicznesky 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 Mathews Vicznesky, PA
110 Ivy Brook Dr,
Dallas, GA 30157-5523

Ph: (217) 357-4592
Amanda Mathews Vicznesky, PA
3950 Austell Rd,
Austell, GA 30106-1121

Ph: (470) 732-4000

Reviews and Comments


Physician Assistant Nurses in Austell, GA

Ms. Lauren Blessing, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Hospital South Dr Ste 300, Austell, GA 30106
Phone: 770-944-2830    Fax: 678-581-7170
Ms. Melissa Anne Martel, PA-C, AEMT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Mr. Jeffrey N Hairston, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2041 Mesa Valley Way, Suite 100, Austell, GA 30106
Phone: 770-944-1100    Fax: 770-941-7227
Brandon Lee Eshleman, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3672 Marathon Cir, Suite 200, Austell, GA 30106
Phone: 770-944-3303    Fax: 770-944-0285
Lauren Cannon,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 706-863-9595    Fax: 706-868-8375
Bethany Bixler Quinn, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3820 Medical Park Dr, Austell, GA 30106
Phone: 770-948-6041    Fax: 770-819-2987
Douglas A. Hernandez, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2041 Mesa Valley Way Ste 100, Austell, GA 30106
Phone: 770-944-1100    

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.