Dr Amanda M Seabolt, PHD, PMHNP-BC, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Metamora, Ohio. Her current practice location is
271 Maple St, Metamora, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 266-5251.
Dr Amanda M Seabolt is licensed to practice in Ohio (license number APRN.CNP.0038240) 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 1669113403.
Provider's Profile
Full Name | Dr Amanda M Seabolt |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 271 Maple St, Metamora, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669113403
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 12/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991233819
- Enrollment ID: I20250106002893
Medical Identifiers
Medical identifiers for Dr Amanda M Seabolt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669113403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | RN.393970 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0038240 (Ohio) | 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. Dr Amanda M Seabolt allows following entities to bill medicare on her behalf.
Entity Name | Geriatric Psychiatric Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467492173 PECOS PAC ID: 6204837388 Enrollment ID: O20101028000065 |
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Entity Name | Mind Redo |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497386148 PECOS PAC ID: 8123432937 Enrollment ID: O20210205000656 |
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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 M Seabolt 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 |
Dr Amanda M Seabolt, PHD, PMHNP-BC, RN 271 Maple St, Metamora, OH 43540-9703 Ph: (419) 266-5251 | Dr Amanda M Seabolt, PHD, PMHNP-BC, RN 271 Maple St, Metamora, OH 43540-9703 Ph: (419) 266-5251 |
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