Amanda M Nellis, PA-C in Hudson, WI - Medicare Physician Assistant

Amanda M Nellis, PA-C is a medicare enrolled "Physician Assistant" in Hudson, Wisconsin. Her current practice location is 403 Stageline Rd, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 531-6800.

Amanda M Nellis is licensed to practice in Wisconsin (license number ) 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 1396978847.

Contact Information

	Amanda M Nellis, PA-C
	403 Stageline Rd, Hudson, WI 54016-7848
	(715) 531-6800
	(715) 531-6801

Provider's Profile

Full Name	Amanda M Nellis
Gender	Female
Speciality	Physician Assistant
Location	403 Stageline Rd, Hudson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396978847
Provider Enumeration Date: 09/01/2009
Last Update Date: 09/01/2009

Medicare PECOS Information:

PECOS PAC ID: 2769520014
Enrollment ID: I20101130000202

Medical Identifiers

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

Identifier	Type	State	Issuer
1396978847	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(Wisconsin)	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 M Nellis 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 M Nellis, PA-C 403 Stageline Rd, Hudson, WI 54016-7848 Ph: (715) 531-6800	Amanda M Nellis, PA-C 403 Stageline Rd, Hudson, WI 54016-7848 Ph: (715) 531-6800

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Physician Assistant Nurses in Hudson, WI

Cynthia J Bast, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2310 Crestview Dr, Hudson, WI 54016 Phone: 715-531-6802 Fax: 715-531-6803
Melissa Jane O'keefe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2651 Hillcrest Drive, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801
Ms. Holly J Reynolds Buchen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1610 Maxwell Dr, Hudson, WI 54016 Phone: 715-389-5278
Donna M Pierson, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 403 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801
Gregory Barlow, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2651 Hillcrest Drive, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801
Justin Paul Grube, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 411 Stageline Rd Ste 150, Hudson, WI 54016 Phone: 715-531-6700 Fax: 715-531-6701

Amanda M Nellis, PA-C - Medicare Physician Assistant in Hudson, WI