| Amanda F Beranek, OTR | |
|
300 S Bruce St, Marshall, MN 56258-1934 | |
| (507) 537-9172 | |
| Not Available |
| Full Name | Amanda F Beranek |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 300 S Bruce St, Marshall, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790942217 | NPI | - | NPPES |
| 1790942217 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0724 (South Dakota) | Secondary |
| 225X00000X | Occupational Therapist | 103494 (Minnesota) | Primary |
| Provider Name | Avera Marshall |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda F Beranek, OTR 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 537-9172 | Amanda F Beranek, OTR 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 537-9172 |
Emilee L Rose, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E College Dr, Suite 704, Marshall, MN 56258 Phone: 507-532-3393 Fax: 507-532-3343 | |
Kelsey Buysse, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E College Dr, Marshall, MN 56258 Phone: 507-532-3393 Fax: 507-532-3343 | |
Kristin Denae Kinney, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1420 E College Dr Ste 704, Marshall, MN 56258 Phone: 507-532-3393 Fax: 507-532-3343 | |
Brianna Bridgewater, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E College Dr Ste 704, Marshall, MN 56258 Phone: 507-532-3393 | |
Jennifer Haedrich, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E College Dr Ste 704, Marshall, MN 56258 Phone: 507-532-3343 Fax: 507-523-3343 | |
Karletta Joy Marwede, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E College Dr, Suite 704, Marshall, MN 56258 Phone: 507-532-3393 Fax: 507-532-3343 | |
Tony Shaikoski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E College Dr, Suite 704, Marshall, MN 56258 Phone: 507-532-3393 Fax: 320-839-4196 |