| Mrs Amy Lee Manning, FNP-C | |
|
61 Highway Y, Ellington, MO 63638-7802 | |
| (573) 663-2525 | |
| (573) 663-7844 |
| Full Name | Mrs Amy Lee Manning |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 61 Highway Y, Ellington, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366996886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2016025943 (Missouri) | Primary |
| 163W00000X | Registered Nurse | 2004020221 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Big Springs Medical Association | 6709871007 | 50 |
| Entity Name | Big Springs Medical Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amy Lee Manning, FNP-C 110 S 2nd St, Ellington, MO 63638-9400 Ph: (573) 663-2313 | Mrs Amy Lee Manning, FNP-C 61 Highway Y, Ellington, MO 63638-7802 Ph: (573) 663-2525 |
Sydnee Buller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 61 Highway Y, Ellington, MO 63638 Phone: 573-663-2525 Fax: 573-663-7844 | |
Nickole Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 61 Highway Y, Ellington, MO 63638 Phone: 573-663-2525 | |
Ms. Susan L Byerley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 E Walnut St, Ellington, MO 63638 Phone: 573-663-2571 Fax: 573-663-2779 |