Dr Amanda Leigh Fitzpatrick, DDS is a medicare enrolled "Dentist - General Practice" provider in La Plata, Missouri. Her current practice location is
119 W Sanders St, La Plata, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 332-4969.
Dr Amanda Leigh Fitzpatrick is licensed to practice in Missouri (license number 2009015934) 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 1134359433.
Healthcare Provider's Profile
Full Name | Dr Amanda Leigh Fitzpatrick |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 119 W Sanders St, La Plata, Missouri |
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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: 1134359433
- Provider Enumeration Date: 07/21/2009
- Last Update Date: 07/21/2009
Medicare PECOS Information:
- PECOS PAC ID: 0749578755
- Enrollment ID: I20161006001648
Medical Identifiers
Medical identifiers for Dr Amanda Leigh Fitzpatrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134359433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2009015934 (Missouri) | 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. Dr Amanda Leigh Fitzpatrick 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 |
Dr Amanda Leigh Fitzpatrick, DDS 119 W Sanders St, La Plata, MO 63549-1166 Ph: (660) 332-4969 | Dr Amanda Leigh Fitzpatrick, DDS 119 W Sanders St, La Plata, MO 63549-1166 Ph: (660) 332-4969 |
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