Amanda Pickett, is a
Licensed Practical Nurse based in Ballwin, Missouri. Amanda Pickett is licensed to practice in Missouri (license number 2002025435) and her current practice location is
40 Meramec Trail Dr, Ballwin, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 923-2361.
NPI number for Amanda Pickett is 1396480497 and her current mailing address is 40 Meramec Trail Dr, Ballwin, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396480497.
Provider's Profile
| Full Name | Amanda Pickett |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 40 Meramec Trail Dr, Ballwin, 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: 1396480497
- Provider Enumeration Date: 05/03/2022
- Last Update Date: 05/03/2022
Medical Identifiers
Medical identifiers for Amanda Pickett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396480497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 2002025435 (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 Pickett 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 Pickett,
40 Meramec Trail Dr,
Ballwin, MO 63021-3331
Ph: (636) 923-2361 | Amanda Pickett,
40 Meramec Trail Dr,
Ballwin, MO 63021-3331
Ph: (636) 923-2361 |
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