Amanda Mays Lack, APRN in Anderson, SC - Medicare Nurse Practitioner

Amanda Mays Lack, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Anderson, South Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centerwell Senior Primary Care Sc Pc and her current practice location is 108 Highway 28 Byp, Anderson, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 772-8173.

Amanda Mays Lack is licensed to practice in South Carolina (license number 23238) 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 1124532528.

Contact Information

	Amanda Mays Lack, APRN
	108 Highway 28 Byp, Anderson, SC 29624-3742
	(864) 772-8173
	(833) 996-1161

Map and Direction

Provider's Profile

Full Name	Amanda Mays Lack
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	108 Highway 28 Byp, Anderson, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda Mays Lack graduated from nursing school in 2017

NPI Data:

NPI Number: 1124532528
Provider Enumeration Date: 11/21/2017
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 4082973847
Enrollment ID: I20200102002346

Medical Identifiers

Medical identifiers for Amanda Mays Lack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124532528	NPI	-	NPPES
NP6410	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN162689 (Georgia)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	23238 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centerwell Senior Primary Care Sc Pc	2860804796	31

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 Mays Lack allows following entities to bill medicare on her behalf.

Entity Name	Centerwell Senior Primary Care Sc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376907790 PECOS PAC ID: 2860804796 Enrollment ID: O20201216002926

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 Mays Lack 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 Mays Lack, APRN 108 Highway 28 Byp, Anderson, SC 29624-3742 Ph: (864) 772-8173	Amanda Mays Lack, APRN 108 Highway 28 Byp, Anderson, SC 29624-3742 Ph: (864) 772-8173

Reviews and Comments

Nurse Practitioner Nurses in Anderson, SC

Ning Sun, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4144 Clemson Blvd, Anderson, SC 29621 Phone: 864-224-9598
Elizabeth Anne Stuart Whitman, FNP-BC, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 N Fant St, Anderson, SC 29621 Phone: 864-512-2000
Jennifer P Arnett, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 E Greenville St, Anderson, SC 29621 Phone: 864-512-1000
Lacey Wilbanks, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 Montgomery Dr, Anderson, SC 29621 Phone: 864-225-5597
Sarah Browne Long, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 E Greenville St, Ste 3850, Anderson, SC 29621 Phone: 864-225-5667 Fax: 864-716-6158
Cynthia Marie Petermann, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 E Greenville St, Anderson, SC 29621 Phone: 864-332-3098 Fax: 855-232-3959
Mrs. Jennifer Lingerfelt, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4120 Highway 24, Anderson, SC 29626 Phone: 864-224-4003

Amanda Mays Lack, APRN - Medicare Nurse Practitioner in Anderson, SC