Amanda Kay Page, P.A.
Individual provider Active NPI Physician Assistant · Dublin, VA
NPI 1972840940 · NPPES record last updated Jan 13, 2022
Key facts
- NPI
- 1972840940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110004086 (VA)
- Practice address
- 4550 Lee Hwy Ste C
Dublin, VA 24084-3802 - Phone
- (540) 980-9660
- Fax
- (540) 639-0976
- NPI assigned
- Jan 11, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lewis Gale Physicians LLC
Practice addresses (Care Compare)
1802 Braeburn Dr
Salem, VA 24153-7357
4550 Lee Hwy
Suite B
Dublin, VA 24084-3820
Phone (540) 674-4560
Hospital & facility affiliations
- Lewisgale Hospital Pulaski
- Lewisgale Hospital Montgomery
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.67 of 100
- Quality
- 66.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130409000216 | VA | Practitioner - Physician Assistant | 5193961597 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110004086 | VA | MD | Physician Assistant |
Interoperability endpoints
- amanda.page@hca6.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110004086 | VA | Yes |
Addresses
Primary practice location
4550 Lee Hwy Ste C
Dublin, VA 24084-3802
Mailing address
4550 Lee Hwy Ste C
Dublin, VA 24084-3802
Phone (540) 980-9660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110004086 | Medicaid | VA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | AMANDA.PAGE@hca6.eclinicaldirectplus.com |
Other providers in Dublin, VA
- Michael Bryan Moore
- Stacy Cathryn Moore
- Jackie L Morgan
- New River Medical Associates, Inc
- Orthopedic Services PLLC
- Pain Management Centers of Southwest Virginia
- Patients Choice Primary Care
- Peaceful Valley Counseling, LLC
- Joshua Pennington
- Carrie Pettus
All providers in Dublin, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.