Miss Amantha Theodore, in Mount Vernon, NY - Medicare Nurse Practitioner

Miss Amantha Theodore, is a medicare enrolled "Nurse Practitioner - Family" in Mount Vernon, New York. Her current practice location is 531 E Lincoln Ave Apt 4n, Mount Vernon, New York. You can reach out to her office (for appointments etc.) via phone at (718) 920-9000.

Miss Amantha Theodore is licensed to practice in Florida (license number RN9364653) 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 1003421066.

Contact Information

	Miss Amantha Theodore,
	531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743
	(718) 920-9000
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Amantha Theodore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	531 E Lincoln Ave Apt 4n, Mount Vernon, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003421066
Provider Enumeration Date: 09/15/2020
Last Update Date: 09/15/2020

Medicare PECOS Information:

PECOS PAC ID: 8527420470
Enrollment ID: I20230809004020

Medical Identifiers

Medical identifiers for Miss Amantha Theodore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003421066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN9364653 (Florida)	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. Miss Amantha Theodore allows following entities to bill medicare on her behalf.

Entity Name	Advanced Care Hospitalists Pl
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457389587 PECOS PAC ID: 5092753632 Enrollment ID: O20050422000853

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. Miss Amantha Theodore 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
Miss Amantha Theodore, 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743 Ph: () -	Miss Amantha Theodore, 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743 Ph: (718) 920-9000

Reviews and Comments

Nurse Practitioner Nurses in Mount Vernon, NY

Mr. Daniel Yaw Boadu, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 W Prospect Ave, Mount Vernon, NY 10550 Phone: 347-419-4321
Marlon Hylton, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Stevens Ave, Mount Vernon, NY 10550 Phone: 914-685-3131 Fax: 914-685-3141
Fosua Agyenim Boateng, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Gramatan Ave Ste 606, Mount Vernon, NY 10550 Phone: 212-961-7299
Mrs. Monica Esmenda Mccalla, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 63 Beechwood Ave, Ph, Mount Vernon, NY 10553 Phone: 914-664-2949
Tahiesha Tolbert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Stevens Ave Ste 4, Mount Vernon, NY 10550 Phone: 914-668-8080
Michelle R Purville, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 246 E 4th St, Mount Vernon, NY 10553 Phone: 321-298-5626

Miss Amantha Theodore, - Medicare Nurse Practitioner in Mount Vernon, NY