Amanda L Wicker, LPN is a
Licensed Practical Nurse based in East Prairie, Missouri. Amanda L Wicker is licensed to practice in Missouri (license number 2003028629) and her current practice location is
106 S Washington St, East Prairie, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 649-9411.
NPI number for Amanda L Wicker is 1265637987 and her current mailing address is 106 S Washington St, East Prairie, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265637987.
Provider's Profile
| Full Name | Amanda L Wicker |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 106 S Washington St, East Prairie, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265637987
- Provider Enumeration Date: 06/21/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Amanda L Wicker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265637987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 2003028629 (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. Amanda L Wicker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amanda L Wicker, LPN
106 S Washington St,
East Prairie, MO 63845-1526
Ph: (573) 649-9411 | Amanda L Wicker, LPN
106 S Washington St,
East Prairie, MO 63845-1526
Ph: (573) 649-9411 |
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