Amanda Lane, OTR/L | |
500 S Cherry St, Waconia, MN 55387-4515 | |
(952) 856-4722 | |
Not Available |
Full Name | Amanda Lane |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 23 Years |
Location | 500 S Cherry St, Waconia, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780248419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 102717 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Odom Sports Medicine Pa | 0143485607 | 54 |
Provider Name | Odom Sports Medicine Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533 |
Mailing Address | Practice Location Address |
---|---|
Amanda Lane, OTR/L 10653 Wayzata Blvd, Minnetonka, MN 55305-1528 Ph: () - | Amanda Lane, OTR/L 500 S Cherry St, Waconia, MN 55387-4515 Ph: (952) 856-4722 |
Nora Carlson, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 | |
Kirstin Amber Peters, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 | |
Andrea Elizabeth Guimont, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 | |
Jami Eilers, MA, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 | |
Madelin Roberts, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 | |
Cerena Ice, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 | |
Olivia Eggert, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 |