Amanda Lynn Stark, BSN, RN is a
Registered Nurse based in Georgetown, Illinois. Amanda Lynn Stark is licensed to practice in Illinois (license number 041411188) and her current practice location is
404 W 9th St, Georgetown, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 474-6093.
NPI number for Amanda Lynn Stark is 1366915597 and her current mailing address is 221 S Scott St, Westville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366915597.
Provider's Profile
Full Name | Amanda Lynn Stark |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 404 W 9th St, Georgetown, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366915597
- Provider Enumeration Date: 01/10/2019
- Last Update Date: 01/10/2019
Medical Identifiers
Medical identifiers for Amanda Lynn Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366915597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041411188 (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 Lynn Stark 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 Lynn Stark, BSN, RN 221 S Scott St, Westville, IL 61883-1523 Ph: (217) 213-8433 | Amanda Lynn Stark, BSN, RN 404 W 9th St, Georgetown, IL 61846-1419 Ph: (217) 474-6093 |
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