Amanda K Nixon PA-C PC
A Medicare group practice based in Tustin, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4587935192), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4587935192
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20170731003739 | MI | Part B Supplier - Clinic/Group Practice | 1578072591 |
| O20171219000059 | MI | Part A Provider - Rural Health Clinic | 1578072591 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Amanda K Nixon PA-C PC
- Rural Health Clinic/Center
- Tustin, MI
- NPI 1578072591
-
Amanda K Nixon PA-C PC
- Physician Assistant
- Tustin, MI
- NPI 1083134886
Practice locations
- Tustin, MI2
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Jonathan Andrew Dennis, DO
- Family Medicine Physician
- Tustin, MI
- NPI 1578523502
-
Amanda Nixon
- Medical Physician Assistant
- Tustin, MI
- NPI 1912250861
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.