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Amanda Adele Freeman

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

100 S 10th St, Lillington, NC 27546-6690

PECOS Enrollment

This provider is enrolled in PECOS as AMANDA FREEMAN.

Based on the most recent information from CMS, provider Amanda Adele Freeman 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 2 days ago.

Profile Details

Provider ID
1750751681
Provider Type
Individual
Full Name
Freeman, Amanda Adele
Credential
PA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/5/2015
Last Updated
12/31/2024

Contact Information

Practice Location

100 S 10th St, Lillington, NC 27546-6690

(910) 893-4111

(910) 893-9850

Mailing Location

100 S 10th St, Lillington, NC 27546-6690

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-05991 North Carolina

Amanda Adele Freeman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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