Amanda Mackillop, NP in Southold, NY - Medicare Nurse Practitioner

Amanda Mackillop, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Southold, New York. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Meeting House Lane Medical Practice Pc and her current practice location is 54655 Main Rd, Southold, New York. You can reach out to her office (for appointments etc.) via phone at (631) 301-2271.

Amanda Mackillop is licensed to practice in New York (license number 403484) 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 1770128753.

Contact Information

	Amanda Mackillop, NP
	54655 Main Rd, Southold, NY 11971-4769
	(631) 301-2271
	(631) 212-0482

Map and Direction

Provider's Profile

Full Name	Amanda Mackillop
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	54655 Main Rd, Southold, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda Mackillop graduated from nursing school in 2021

NPI Data:

NPI Number: 1770128753
Provider Enumeration Date: 11/13/2019
Last Update Date: 12/17/2025

Medicare PECOS Information:

PECOS PAC ID: 6709257660
Enrollment ID: I20230201000909

Medical Identifiers

Medical identifiers for Amanda Mackillop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770128753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	403484 (New York)	Primary
163W00000X	Registered Nurse	780342 (New York)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Meeting House Lane Medical Practice Pc	6800972589	117

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. Amanda Mackillop allows following entities to bill medicare on her behalf.

Entity Name	Meeting House Lane Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902088495 PECOS PAC ID: 6800972589 Enrollment ID: O20080326000089

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. Amanda Mackillop 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
Amanda Mackillop, NP 54655 Main Rd, Southold, NY 11971-4769 Ph: (631) 301-2271	Amanda Mackillop, NP 54655 Main Rd, Southold, NY 11971-4769 Ph: (631) 301-2271

Reviews and Comments

Nurse Practitioner Nurses in Southold, NY

Ms. Nordea Eloina Harrison-bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-626-1006
Kathleen Rene, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-626-1006
Christian Witherell, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19995 Soundview Ave, Southold, NY 11971 Phone: 631-335-5541 Fax: 631-939-2006
Marcela I Schiappacasse, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-626-1006
Lillian Ann Wolfe, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-626-1006
Malynda Boyle, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44360 County Route 48, Southold, NY 11971 Phone: 631-734-8742
Joan Marcy Benken, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Hobart Rd, Southold, NY 11971 Phone: 631-765-5619

Amanda Mackillop, NP - Medicare Nurse Practitioner in Southold, NY