Amanda Baucom, is a
Occupational Therapist based in Stronghurst, Illinois. Amanda Baucom is licensed to practice in Illinois (license number 056011582) and her current practice location is
604 Oakwood Dr, Stronghurst, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 924-1123.
NPI number for Amanda Baucom is 1245712975 and her current mailing address is 3329 235th St, De Witt, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245712975.
Healthcare Provider's Profile
Full Name | Amanda Baucom |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 604 Oakwood Dr, Stronghurst, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245712975
- Provider Enumeration Date: 08/29/2018
- Last Update Date: 08/29/2018
Medical Identifiers
Medical identifiers for Amanda Baucom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245712975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 056011582 (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. Amanda Baucom 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 Baucom, 3329 235th St, De Witt, IA 52742-9205 Ph: (432) 661-2262 | Amanda Baucom, 604 Oakwood Dr, Stronghurst, IL 61480-5052 Ph: (309) 924-1123 |
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