Mrs Amanda Leigh Knobloch, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Fults, Illinois. Her current practice location is
3601 Ll Rd, Fults, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 558-2497.
Mrs Amanda Leigh Knobloch is licensed to practice in Missouri (license number 2015042059) 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 1396110276.
Provider's Profile
Full Name | Mrs Amanda Leigh Knobloch |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3601 Ll Rd, Fults, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396110276
- Provider Enumeration Date: 12/03/2015
- Last Update Date: 12/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 1456618149
- Enrollment ID: I20180102001883
Medical Identifiers
Medical identifiers for Mrs Amanda Leigh Knobloch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396110276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 2015042059 (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. Mrs Amanda Leigh Knobloch 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 |
Mrs Amanda Leigh Knobloch, NP-C 3601 Ll Rd, Fults, IL 62244-1231 Ph: (618) 558-2497 | Mrs Amanda Leigh Knobloch, NP-C 3601 Ll Rd, Fults, IL 62244-1231 Ph: (618) 558-2497 |
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