Amanda Leigh Palm, PA-C is a medicare enrolled "Physician Assistant" provider in Madison, Wisconsin. Her current practice location is
600 Highland Ave, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 263-6420.
Amanda Leigh Palm is licensed to practice in Wisconsin (license number 3320-23) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396073136.
Healthcare Provider's Profile
Full Name | Amanda Leigh Palm |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 600 Highland Ave, Madison, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396073136
- Provider Enumeration Date: 12/04/2009
- Last Update Date: 02/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 7618192790
- Enrollment ID: I20140703000480
Medical Identifiers
Medical identifiers for Amanda Leigh Palm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396073136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 127852-121 (Wisconsin) | Secondary |
363A00000X | Physician Assistant | 3320-23 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Leigh Palm is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Leigh Palm, PA-C 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Amanda Leigh Palm, PA-C 600 Highland Ave, Madison, WI 53792-0001 Ph: (608) 263-6420 |
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