Amanda Katlin Reid, PA - Medicare Physician Assistant in Fayetteville, AR

Amanda Katlin Reid, PA is a medicare enrolled "Physician Assistant" physician in Fayetteville, Arkansas. Her current practice location is 3317 N Wimberly Dr, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 521-2752.

Amanda Katlin Reid is licensed to practice in Arkansas (license number PA-993) 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 1295158913.

Contact Information

Amanda Katlin Reid, PA
3317 N Wimberly Dr,
Fayetteville, AR 72703-4056
(479) 521-2752
(479) 521-4603



Physician's Profile

Full NameAmanda Katlin Reid
GenderFemale
SpecialityPhysician Assistant
Location3317 N Wimberly Dr, Fayetteville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295158913
  • Provider Enumeration Date: 01/31/2014
  • Last Update Date: 04/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941431480
  • Enrollment ID: I20210807000060

Medical Identifiers

Medical identifiers for Amanda Katlin Reid such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295158913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery PA-993 (Arkansas)Secondary
363A00000XPhysician Assistant PA51724 (California)Secondary
363A00000XPhysician Assistant PA-993 (Arkansas)Primary

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 Katlin Reid 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
Amanda Katlin Reid, PA
Po Box 800902,
Santa Clarita, CA 91380-0902

Ph: (417) 291-2816
Amanda Katlin Reid, PA
3317 N Wimberly Dr,
Fayetteville, AR 72703-4056

Ph: (479) 521-2752

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