Blaine Amstadt, is a
Registered Nurse based in Monico, Wisconsin. Blaine Amstadt is licensed to practice in Wisconsin (license number 169353) and her current practice location is
1645 Pederson St, Monico, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 490-0570.
NPI number for Blaine Amstadt is 1003136391 and her current mailing address is 1645 Pederson St, Monico, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003136391.
Provider's Profile
Full Name | Blaine Amstadt |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 1645 Pederson St, Monico, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003136391
- Provider Enumeration Date: 06/09/2010
- Last Update Date: 06/09/2010
Medical Identifiers
Medical identifiers for Blaine Amstadt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003136391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 169353 (Wisconsin) | 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. Blaine Amstadt 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 |
Blaine Amstadt, 1645 Pederson St, Monico, WI 54501-7716 Ph: (715) 490-0570 | Blaine Amstadt, 1645 Pederson St, Monico, WI 54501-7716 Ph: (715) 490-0570 |
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