Miss Amanda Marie Allen, PA-C in Peoria, IL - Medicare Physician Assistant

Miss Amanda Marie Allen, PA-C is a medicare enrolled "Physician Assistant" in Peoria, Illinois. Her current practice location is 8600 N State Route 91, Suite 300, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 691-6616.

Miss Amanda Marie Allen is licensed to practice in Illinois (license number 085.004220) 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 1376829010.

Contact Information

	Miss Amanda Marie Allen, PA-C
	8600 N State Route 91, Suite 300, Peoria, IL 61615-9541
	(309) 691-6616
	(309) 691-2943

Map and Direction

Provider's Profile

Full Name	Miss Amanda Marie Allen
Gender	Female
Speciality	Physician Assistant
Location	8600 N State Route 91, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376829010
Provider Enumeration Date: 10/26/2011
Last Update Date: 04/04/2023

Medicare PECOS Information:

PECOS PAC ID: 4981867595
Enrollment ID: I20120518000071

Medical Identifiers

Medical identifiers for Miss Amanda Marie Allen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376829010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	085.004220 (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. Miss Amanda Marie Allen 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
Miss Amanda Marie Allen, PA-C 2401 W Alta Rd, Apt. 1904, Peoria, IL 61615-1279 Ph: (219) 508-5791	Miss Amanda Marie Allen, PA-C 8600 N State Route 91, Suite 300, Peoria, IL 61615-9541 Ph: (309) 691-6616

Reviews and Comments

Physician Assistant Nurses in Peoria, IL

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Miss Amanda Marie Allen, PA-C - Medicare Physician Assistant in Peoria, IL