Amy Jo Fugate, AGPCNP in Mattoon, IL - Medicare Nurse Practitioner

Amy Jo Fugate, AGPCNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Mattoon, Illinois. Her current practice location is 1000 Palm Ave, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 365-6271.

Amy Jo Fugate is licensed to practice in Illinois (license number 209021558) 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 1962020560.

Contact Information

	Amy Jo Fugate, AGPCNP
	1000 Palm Ave, Mattoon, IL 61938-6031
	(888) 365-6271
	Not Available

Map and Direction

Provider's Profile

Full Name	Amy Jo Fugate
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1000 Palm Ave, Mattoon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962020560
Provider Enumeration Date: 07/09/2020
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 8325462484
Enrollment ID: I20200722000688

Medical Identifiers

Medical identifiers for Amy Jo Fugate such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962020560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	209021558 (Illinois)	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. Amy Jo Fugate allows following entities to bill medicare on her behalf.

Entity Name	Ameriwound Physicians Il Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104245893 PECOS PAC ID: 2860616299 Enrollment ID: O20140605000079

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. Amy Jo Fugate 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
Amy Jo Fugate, AGPCNP 15730 N State Highway 130, Newton, IL 62448-3273 Ph: (217) 663-5414	Amy Jo Fugate, AGPCNP 1000 Palm Ave, Mattoon, IL 61938-6031 Ph: (888) 365-6271

Reviews and Comments

Nurse Practitioner Nurses in Mattoon, IL

Madeline Koester, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Palm Ave, Mattoon, IL 61938 Phone: 217-234-7403
Diana L. Oakley, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 104, Mattoon, IL 61938 Phone: 217-258-2178 Fax: 217-258-4024
Penelope Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 102, Mattoon, IL 61938 Phone: 217-258-4042 Fax: 217-258-4053
Lana Keigley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Dr Ste 100, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120
Emily N Hardiek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686
Robert C Atchley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551
Loring Barr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323

Amy Jo Fugate, AGPCNP - Medicare Nurse Practitioner in Mattoon, IL