Mrs Amanda Marie Czarnecki, PA-C, MMS is a medicare enrolled "Physician Assistant" in Sullivan, Missouri. Her current practice location is
751 Sappington Bridge Rd, Sullivan, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 468-1120.
Mrs Amanda Marie Czarnecki is licensed to practice in Illinois (license number 085006964) 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 1669646808.
Provider's Profile
Full Name | Mrs Amanda Marie Czarnecki |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 751 Sappington Bridge Rd, Sullivan, Missouri |
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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: 1669646808
- Provider Enumeration Date: 04/18/2008
- Last Update Date: 03/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 2961573647
- Enrollment ID: I20080624000517
Medical Identifiers
Medical identifiers for Mrs Amanda Marie Czarnecki such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669646808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2008013234 (Missouri) | Secondary |
363A00000X | Physician Assistant | 085006964 (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. Mrs Amanda Marie Czarnecki 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 Marie Czarnecki, PA-C, MMS 4075 Copper Ridge Dr, Traverse City, MI 49684-7059 Ph: (888) 632-0542 | Mrs Amanda Marie Czarnecki, PA-C, MMS 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 Ph: (573) 468-1120 |
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