Mrs Amanda Dewitt Reynolds, FNP-BC, PMHNP-BC in Southport, NC

Mrs Amanda Dewitt Reynolds, FNP-BC, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Southport, North Carolina. Her current practice location is 924 N Howe St, Southport, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 457-3800.

Mrs Amanda Dewitt Reynolds is licensed to practice in North Carolina (license number 5009418) 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 1194266023.

Contact Information

	Mrs Amanda Dewitt Reynolds, FNP-BC, PMHNP-BC
	924 N Howe St, Southport, NC 28461-3038
	(910) 457-3800
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amanda Dewitt Reynolds
Gender	Female
Speciality	Nurse Practitioner - Family
Location	924 N Howe St, Southport, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194266023
Provider Enumeration Date: 03/10/2017
Last Update Date: 04/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2668741737
Enrollment ID: I20170705001516

Medical Identifiers

Medical identifiers for Mrs Amanda Dewitt Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194266023	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1158155 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5009418 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	C-APRN.0102208-C-NP (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	5009418 (North Carolina)	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. Mrs Amanda Dewitt Reynolds allows following entities to bill medicare on her behalf.

Entity Name	J. Arthur Dosher Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275660342 PECOS PAC ID: 8921910324 Enrollment ID: O20031104000362

Entity Name	Southeastern Integrated Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326036138 PECOS PAC ID: 3173806346 Enrollment ID: O20170214000330

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. Mrs Amanda Dewitt Reynolds 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
Mrs Amanda Dewitt Reynolds, FNP-BC, PMHNP-BC 924 N Howe St, Southport, NC 28461-3038 Ph: (910) 457-3808	Mrs Amanda Dewitt Reynolds, FNP-BC, PMHNP-BC 924 N Howe St, Southport, NC 28461-3038 Ph: (910) 457-3800

Reviews and Comments

Nurse Practitioner Nurses in Southport, NC

Mrs. Dora Connelly Loflin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4705 Southport Supply Rd Se, Southport, NC 28461 Phone: 910-457-6044 Fax: 910-457-5220
Matthew Justin Lucas, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 N Howe St Ste 5, Southport, NC 28461 Phone: 910-622-0952
Jillian Sara Tabor, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 924 N Howe St, Southport, NC 28461 Phone: 910-454-1192
Margaret Higgins Kaplan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5503 Rob Gandy Blvd Se Ste 2b, Southport, NC 28461 Phone: 910-442-8900 Fax: 910-310-4352
Lorena Dunbar Mauney, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4734 Long Beach Rd Se, Southport, NC 28461 Phone: 910-457-0070 Fax: 910-267-8936
Ms. Julie Ann Stanwick, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 W Boiling Spring Rd, Southport, NC 28461 Phone: 910-845-5333 Fax: 855-881-2158

Mrs Amanda Dewitt Reynolds, FNP-BC, PMHNP-BC - Medicare Nurse Practitioner in Southport, NC