Mrs Amanda Sue Macklin, ARNP in Tacoma, WA - Medicare Nurse Practitioner

Mrs Amanda Sue Macklin, ARNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Tacoma, Washington. Her current practice location is 630 N Fairview Dr # 256, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 777-1423.

Mrs Amanda Sue Macklin is licensed to practice in Washington (license number AP60784445) 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 1740707967.

Contact Information

	Mrs Amanda Sue Macklin, ARNP
	630 N Fairview Dr # 256, Tacoma, WA 98406-1015
	(253) 777-1423
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amanda Sue Macklin
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	630 N Fairview Dr # 256, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740707967
Provider Enumeration Date: 08/28/2017
Last Update Date: 03/29/2025

Medicare PECOS Information:

PECOS PAC ID: 2567737182
Enrollment ID: I20200529000614

Medical Identifiers

Medical identifiers for Mrs Amanda Sue Macklin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740707967	NPI	-	NPPES
2087977	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	N360791741 (Washington)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP60784445 (Washington)	Primary
363L00000X	Nurse Practitioner	AP60784445 (Washington)	Secondary

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 Sue Macklin allows following entities to bill medicare on her behalf.

Entity Name	Maksportsmd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417469404 PECOS PAC ID: 9739448234 Enrollment ID: O20180108002433

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 Sue Macklin 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 Sue Macklin, ARNP 426 Sw Hayworth Dr Unit 203, Port Orchard, WA 98367-5015 Ph: (253) 313-2284	Mrs Amanda Sue Macklin, ARNP 630 N Fairview Dr # 256, Tacoma, WA 98406-1015 Ph: (253) 777-1423

Reviews and Comments

Nurse Practitioner Nurses in Tacoma, WA

Salome Odja Dockendorf, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402 Phone: 812-870-6728
Morgan Burdick, MSW, MSN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9600 Veterans Dr Sw, Tacoma, WA 98493 Phone: 253-582-8440
Barbara L Kapuscinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2751
Ms. Christine J. Larsen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493
Rick Hahn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000
Mrs. Kimberley Anne Burns, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1617 S J St, Tacoma, WA 98405 Phone: 253-274-7504
Randi Marie Berg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Tacoma, WA 98431 Phone: 253-968-2315

Mrs Amanda Sue Macklin, ARNP - Medicare Nurse Practitioner in Tacoma, WA