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Amanda Basilicata

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1945 State Route 33, Neptune City, NJ 07753-4859

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda Basilicata is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1447968144
Provider Type
Individual
Full Name
Basilicata, Amanda
Gender
Female

Sole Proprietor
No
Enumeration Date
11/10/2022
Last Updated
11/10/2022

Contact Information

Practice Location

1945 State Route 33, Neptune City, NJ 07753-4859

(732) 775-5500

Unlisted Fax

Mailing Location

10 Benjamin St, Bayville, NJ 08721-1260

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Amanda Basilicata

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mann, Marissa

Spahn, Brianna Collins

Mckenney, Diana M.

Larkin, Patrick Hanford

Pillarella, Nicholas Rudy

Bulauitan, Danielle Kristan

Tulino, Joseph

Jagger, Alexis

Klein, Alexys Rose

Khan, Haroon M