Amanda Rose Bantle, APNP - Medicare Nurse Practitioner in Green Bay, WI

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Amanda Rose Bantle, APNP is a medicare enrolled "Nurse Practitioner" in Green Bay, Wisconsin. Her current practice location is 2581 Development Dr, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 347-0400.

Amanda Rose Bantle is licensed to practice in Wisconsin (license number 13516-33) 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 1003520495.

Contact Information

Amanda Rose Bantle, APNP
2581 Development Dr,
Green Bay, WI 54311-4247
(920) 347-0400
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Rose Bantle
GenderFemale
SpecialityNurse Practitioner
Location2581 Development Dr, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003520495
  • Provider Enumeration Date: 01/10/2023
  • Last Update Date: 01/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183098270
  • Enrollment ID: I20230313000180

Medical Identifiers

Medical identifiers for Amanda Rose Bantle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003520495NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 168768-30 (Wisconsin)Secondary
363L00000XNurse Practitioner 13516-33 (Wisconsin)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 Rose Bantle allows following entities to bill medicare on her behalf.
Entity NameBaycare Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588609648
PECOS PAC ID: 4385554328
Enrollment ID: O20031105000087

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 Rose Bantle 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 Rose Bantle, APNP
1035 Kepler Dr,
Green Bay, WI 54311-8320

Ph: () -		Amanda Rose Bantle, APNP
2581 Development Dr,
Green Bay, WI 54311-4247

Ph: (920) 347-0400

Reviews and Comments


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Practice Location: 2641 Development Drive, Green Bay, WI 54311
Phone: 920-338-6868    Fax: 920-338-6869

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.