Mrs Amanda A Petker, OT is a medicare enrolled "Occupational Therapist - Hand" provider in Elwood, Indiana. Her current practice location is
226 S Anderson St Ste B, Elwood, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 552-8460.
Mrs Amanda A Petker is licensed to practice in Indiana (license number 31004646A) 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 1902065139.
Healthcare Provider's Profile
Full Name | Mrs Amanda A Petker |
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Gender | Female |
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Speciality | Occupational Therapist - Hand |
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Location | 226 S Anderson St Ste B, Elwood, Indiana |
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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: 1902065139
- Provider Enumeration Date: 06/03/2008
- Last Update Date: 01/26/2011
Medicare PECOS Information:
- PECOS PAC ID: 8628125069
- Enrollment ID: I20090422000116
Medical Identifiers
Medical identifiers for Mrs Amanda A Petker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902065139 | NPI | - | NPPES |
P00702440 | Other | IN | RR MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 31004646A (Indiana) | Secondary |
225XH1200X | Occupational Therapist - Hand | 31004646A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Amanda A Petker allows following entities to bill medicare on her behalf.
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1053833657 PECOS PAC ID: 6507832573 Enrollment ID: O20171009003264 |
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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 A Petker 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 A Petker, OT 226 S Anderson St Ste B, Elwood, IN 46036-2015 Ph: (765) 552-8460 | Mrs Amanda A Petker, OT 226 S Anderson St Ste B, Elwood, IN 46036-2015 Ph: (765) 552-8460 |
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