Mrs Amanda Jo Prestigiacomo, FNP-C - Medicare Nurse Practitioner in Twin Falls, ID

Mrs Amanda Jo Prestigiacomo, FNP-C is a medicare enrolled "Nurse Practitioner" in Twin Falls, Idaho. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Lukes Clinic Llc, Idaho Kidney Institute Llp and her current practice location is 350 N Haven Dr, Twin Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 904-4780.

Mrs Amanda Jo Prestigiacomo is licensed to practice in Idaho (license number 55632) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043747579.

Contact Information

Mrs Amanda Jo Prestigiacomo, FNP-C
350 N Haven Dr,
Twin Falls, ID 83301-5788
(208) 904-4780
(208) 904-4832



Provider's Profile

Full NameMrs Amanda Jo Prestigiacomo
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location350 N Haven Dr, Twin Falls, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Amanda Jo Prestigiacomo graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1043747579
  • Provider Enumeration Date: 05/15/2017
  • Last Update Date: 04/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6103197355
  • Enrollment ID: I20170807000202

Medical Identifiers

Medical identifiers for Mrs Amanda Jo Prestigiacomo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043747579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 55632 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Lukes Magic Valley Medical CenterTwin falls, IDHospital
North Canyon Medical CenterGooding, IDHospital
Minidoka Memorial HospitalRupert, IDHospital
Cassia Regional HospitalBurley, IDHospital
St Luke's JeromeJerome, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic Llc1052217478297
Idaho Kidney Institute Llp903215531215

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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 Jo Prestigiacomo allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899

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Entity NameIdaho Kidney Institute Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013064690
PECOS PAC ID: 9032155312
Enrollment ID: O20050708000247

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Entity NameVisions Home Health & Visions Home Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235137761
PECOS PAC ID: 0648174268
Enrollment ID: O20200319002235

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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 Jo Prestigiacomo 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 Jo Prestigiacomo, FNP-C
Po Box 268934,
Oklahoma City, OK 73126-8934

Ph: (208) 904-4780
Mrs Amanda Jo Prestigiacomo, FNP-C
350 N Haven Dr,
Twin Falls, ID 83301-5788

Ph: (208) 904-4780

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Nurse Practitioner Nurses in Twin Falls, ID

Janice Carter, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2086 Addison Ave E, Twin Falls, ID 83301
Phone: 208-733-9697    Fax: 208-733-3197
Lesley D. Goulding, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301
Phone: 208-814-8740    Fax: 208-814-8955
Mrs. Raemi Dawn Nolevanko, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301
Phone: 208-814-1000    
Corinne Bartschi, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301
Phone: 208-595-5095    
Jerri L Bingham,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301
Phone: 208-814-1000    
Mr. Samuel Teagan Shaw, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1835 Harrison St N Unit 16104, Twin Falls, ID 83301
Phone: 208-431-3570    

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