Mrs Amanda Leah Spahn, PA-C is a medicare enrolled "Obstetrics & Gynecology - Gynecology" in Fort Smith, Arkansas. Her current practice location is
8101 Mcclure Dr Ste 100, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 459-6528.
Mrs Amanda Leah Spahn is licensed to practice in Arkansas (license number PA-476) 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 1558620856.
Provider's Profile
| Full Name | Mrs Amanda Leah Spahn |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology - Gynecology |
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| Location | 8101 Mcclure Dr Ste 100, Fort Smith, Arkansas |
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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: 1558620856
- Provider Enumeration Date: 05/08/2012
- Last Update Date: 03/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 6507097128
- Enrollment ID: I20140325001052
Medical Identifiers
Medical identifiers for Mrs Amanda Leah Spahn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558620856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | P-T1217 (Arkansas) | Secondary |
| 363A00000X | Physician Assistant | PA-476 (Arkansas) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | PA-476 (Arkansas) | 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 Leah Spahn allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Clinic Fort Smith Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
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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. Mrs Amanda Leah Spahn 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 Leah Spahn, PA-C 8101 Mcclure Dr Ste 100, Fort Smith, AR 72916-6044 Ph: (479) 459-6528 | Mrs Amanda Leah Spahn, PA-C 8101 Mcclure Dr Ste 100, Fort Smith, AR 72916-6044 Ph: (479) 459-6528 |
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