| Amanda Panepento, PA | |
|
220 E Rogers Rd, Longmont, CO 80501-6027 | |
| (303) 697-2583 | |
| (303) 682-6419 |
| Full Name | Amanda Panepento |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 220 E Rogers Rd, Longmont, Colorado |
| 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 |
|---|---|---|---|
| 1457902868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0006718 (Colorado) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory University Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Emory Clinic Inc | 8820901408 | 3507 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Panepento, PA 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 Ph: Not Available | Amanda Panepento, PA 220 E Rogers Rd, Longmont, CO 80501-6027 Ph: (303) 697-2583 |
Danielle Pohlit, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 720-718-3900 Fax: 720-718-0999 |
Camille Gannon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2017 100 Yearparty Ct # 80504, Longmont, CO 80504 Phone: 303-848-3800 |
John P Hundley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Peak Ave, Longmont, CO 80504 Phone: 720-718-8990 Fax: 720-718-8999 |
Carter J Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 303-772-1600 Fax: 303-772-9317 |
Jason D Schmidthuber, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1079 S Hover St Ste 200, Longmont, CO 80501 Phone: 303-645-4241 Fax: 720-790-7053 |
Page Marie Sherrill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 E Rogers Rd, Longmont, CO 80501 Phone: 303-697-2583 |
Susan Graham, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1308 Vivian St, Longmont, CO 80501 Phone: 800-628-7828 |