AMANDA BORN M.D. – NPI #1083024277
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

AMANDA BORN is a physician located in SHAWANO, WI. NPPES has assigned the NPI number 1083024277 to AMANDA BORN on April 28, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name AMANDA BERNATH. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMANDA BORN below.

NPI Profile for
AMANDA B. BERNATH

NPI Number
1083024277
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMANDA B. BERNATH
Professional Name: AMANDA BORN
Credentials
M.D.
Primary location
100 COUNTY ROAD B
SHAWANO, WI 54166-7072
Phone: (715) 524-2161 Fax: (715) 526-3461
1 Other location(s):
2400 W Villard Ave
Milwaukee, WI 53209-4901
Phone: (414) 527-8348
Fax: (414) 527-8046
Mailing address
122 E COLLEGE AVE
APPLETON, WI 54911-5794
Phone: (920) 996-3264 Fax: (920) 830-5970
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
WI 65840
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AMANDA BORN is affiliated with the following medical group(s):
  • HOSPITAL
    • THEDACARE MEDICAL CENTER - SHAWANO
      100 COUNTY RD B
      SHAWANO, WI 54166
    • THEDACARE REGIONAL MED CTR - NEENAH
      130 2ND ST
      NEENAH, WI 54956
  • HOSPICE
    • THEDACARE AT HOME
      3000 E COLLEGE AVE SUITE A
      APPLETON, WI 54915

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