Amanda Balk, RD, LD, PA-C is a medicare enrolled "Physician Assistant" provider in De Soto, Missouri. Her current practice location is
120 Boyd St, De Soto, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 282-0380.
Amanda Balk is licensed to practice in * (Not Available) (license number ) 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 1851806467.
Healthcare Provider's Profile
Full Name | Amanda Balk |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 120 Boyd St, De Soto, 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: 1851806467
- Provider Enumeration Date: 12/05/2017
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719360528
- Enrollment ID: I20220811001263
Medical Identifiers
Medical identifiers for Amanda Balk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851806467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | 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 Balk 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 Balk, RD, LD, PA-C 120 Boyd St, De Soto, MO 63020-1702 Ph: () - | Amanda Balk, RD, LD, PA-C 120 Boyd St, De Soto, MO 63020-1702 Ph: (636) 282-0380 |
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