Dr Amanda Lyn Brenneman, ARNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Monticello, Iowa. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Physician Associates Inc and her current practice location is
12007 190th St, Monticello, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 465-5916.
Dr Amanda Lyn Brenneman is licensed to practice in Iowa (license number A115617) 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 1639658800.
Provider's Profile
| Full Name | Dr Amanda Lyn Brenneman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 12007 190th St, Monticello, Iowa |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Amanda Lyn Brenneman graduated from nursing school in 2018
NPI Data:
- NPI Number: 1639658800
- Provider Enumeration Date: 08/08/2018
- Last Update Date: 08/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 5092051656
- Enrollment ID: I20190118000733
Medical Identifiers
Medical identifiers for Dr Amanda Lyn Brenneman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639658800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | A115617 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Physician Associates Inc | 1355242496 | 91 |
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. Dr Amanda Lyn Brenneman allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Physician Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427254952
PECOS PAC ID: 1355242496
Enrollment ID: O20040120000805 |
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| Entity Name | Mercycare Management, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467659268
PECOS PAC ID: 2466343363
Enrollment ID: O20040322000692 |
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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. Dr Amanda Lyn Brenneman 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 |
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Dr Amanda Lyn Brenneman, ARNP, FNP-BC
12007 190th St,
Monticello, IA 52310-8060
Ph: (319) 465-5916 | Dr Amanda Lyn Brenneman, ARNP, FNP-BC
12007 190th St,
Monticello, IA 52310-8060
Ph: (319) 465-5916 |
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