Amanda D Wilcox (NPI# 1669763868, PAC ID# 6709055130) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1669763868 |
| PAC ID by PECOS | 6709055130 |
| Professional Enrollment ID | I20110801000835 |
| Full Name | Amanda D Wilcox |
| Address |
1805 Station Dr Suite A Prattville AL 36066-5670 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010108 | PRATTVILLE BAPTIST HOSPITAL |
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| 010149 | BAPTIST MEDICAL CENTER EAST |
| Address | Phone | Organization |
|---|---|---|
| 1805 Station Dr, Suite A, Prattville, AL 36066-5670 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 83% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 1% |
| Street Address |
1805 STATION DR SUITE A |
| City | PRATTVILLE |
| State | AL |
| Zip | 36066-5670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer H Mann | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Meloni N Carter | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Wendy Mcfarland Cavey | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Maarten Wybenga | Family Medicine | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Amy M Wybenga | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Alexander C Whitley | Radiation Oncology | Central Alabama Radiation Oncology | 585 Jasmine Trl, Prattville, AL 36066-3657 |
| Robert Lee Franklin | Radiation Oncology | Central Alabama Radiation Oncology | 585 Jasmine Trl, Prattville, AL 36066-3657 |
| Leigh Anne Luna | Nurse Practitioner | Alabama Post-acute Medical Service 1 PC | 601 Jasmine Trl, Prattville, AL 36066-3661 |
| Melanie A Lawrenc | Optometry | Barry J Mcnamara Od PC | 605 Jasmine Trl, Prattville, AL 36066-3661 |
| George N Eischens | Optometry | Barry J Mcnamara Od PC | 605 Jasmine Trl, Prattville, AL 36066-3661 |
| Find all physicians in zip 36066 | |||
| City | PRATTVILLE |
| Zip Code | 36066 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PRATTVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Amanda D Wilcox.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.