Amanda Endrizzi, MSPA is a medicare enrolled "Physician Assistant - Medical" in Vienna, Illinois. Her current practice location is
803 North 1st Street, Vienna, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 658-2811.
Amanda Endrizzi is licensed to practice in Illinois (license number 085004839) 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 1477981421.
Provider's Profile
Full Name | Amanda Endrizzi |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 803 North 1st Street, Vienna, Illinois |
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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: 1477981421
- Provider Enumeration Date: 10/29/2013
- Last Update Date: 04/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 9830320696
- Enrollment ID: I20140320002008
Medical Identifiers
Medical identifiers for Amanda Endrizzi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477981421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 085004839 (Illinois) | 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 Endrizzi 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 Endrizzi, MSPA 513 N Main St, Anna, IL 62906-1668 Ph: (618) 833-4471 | Amanda Endrizzi, MSPA 803 North 1st Street, Vienna, IL 62995 Ph: (618) 658-2811 |
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