| Amanda Rian Mcdaniels, | |
|
111 E Fm 120 Ste 104, Pottsboro, TX 75076-7801 | |
| (903) 786-3911 | |
| (903) 786-8630 |
| Full Name | Amanda Rian Mcdaniels |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 111 E Fm 120 Ste 104, Pottsboro, Texas |
| 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 |
|---|---|---|---|
| 1295378966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 32232 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 32232 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texoma Medical Center | Denison, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ies Central Texas Pllc | 3476922576 | 33 |
| Level One Emergency Physicians Llc | 7810371044 | 29 |
| Entity Name | Level One Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528790193 PECOS PAC ID: 7810371044 Enrollment ID: O20220907000904 |
| Entity Name | Level One Emergency Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427780097 PECOS PAC ID: 0941684179 Enrollment ID: O20220907001111 |
| Entity Name | Level One Emergency Anna Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285329516 PECOS PAC ID: 4486094232 Enrollment ID: O20240426003513 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Rian Mcdaniels, 5012 S Us Hwy 75, Suite 300, Attn Billing, Denison, TX 75020-4587 Ph: (903) 786-3911 | Amanda Rian Mcdaniels, 111 E Fm 120 Ste 104, Pottsboro, TX 75076-7801 Ph: (903) 786-3911 |
Julie Kincaid, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 Chrissa Dr, Pottsboro, TX 75076 Phone: 903-819-2629 |