Mrs Amanda Marie Czarnecki, PA-C, MMS - Medicare Physician Assistant in Sullivan, MO

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Mrs Amanda Marie Czarnecki, PA-C, MMS is a medicare enrolled "Physician Assistant" in Sullivan, Missouri. Her current practice location is 751 Sappington Bridge Rd, Sullivan, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 468-1120.

Mrs Amanda Marie Czarnecki is licensed to practice in Illinois (license number 085006964) 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 1669646808.

Contact Information

Mrs Amanda Marie Czarnecki, PA-C, MMS
751 Sappington Bridge Rd,
Sullivan, MO 63080-2354
(573) 468-1120
Not Available

Map and Direction




Provider's Profile

Full NameMrs Amanda Marie Czarnecki
GenderFemale
SpecialityPhysician Assistant
Location751 Sappington Bridge Rd, Sullivan, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669646808
  • Provider Enumeration Date: 04/18/2008
  • Last Update Date: 03/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2961573647
  • Enrollment ID: I20080624000517

Medical Identifiers

Medical identifiers for Mrs Amanda Marie Czarnecki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669646808NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2008013234 (Missouri)Secondary
363A00000XPhysician Assistant 085006964 (Illinois)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 Marie Czarnecki allows following entities to bill medicare on her behalf.
Entity NameSSM Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393
Entity NameSoutheastern Emergency Physicians of Memphis LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20060711000434
Entity NameSoutheastern Emergency Services of Memphis PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164454450
PECOS PAC ID: 8921912767
Enrollment ID: O20080108000151
Entity NameCep America LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619332046
PECOS PAC ID: 6608056171
Enrollment ID: O20150312000325

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 Marie Czarnecki 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 AddressPractice Location Address
Mrs Amanda Marie Czarnecki, PA-C, MMS
4075 Copper Ridge Dr,
Traverse City, MI 49684-7059

Ph: (888) 632-0542		Mrs Amanda Marie Czarnecki, PA-C, MMS
751 Sappington Bridge Rd,
Sullivan, MO 63080-2354

Ph: (573) 468-1120

Reviews and Comments


Physician Assistant Nurses in Sullivan, MO

Ms. Kate Joanna Randolph, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 751 Sappington Bridge Rd, Dept Radiology, Sullivan, MO 63080
Phone: 314-996-5170    Fax: 314-653-5832
Mr. Joshua Michael Maurer, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 965 Mattox Dr, Sullivan, MO 63080
Phone: 573-860-6000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.