Amanda Medelline, is a
Pharmacist based in Emory, Texas. Amanda Medelline is licensed to practice in Texas (license number 33816) and her current practice location is
959 E Lennon Dr, Emory, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 473-4523.
NPI number for Amanda Medelline is 1588271076 and her current mailing address is 959 E Lennon Dr, Emory, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588271076.
Healthcare Provider's Profile
| Full Name | Amanda Medelline |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 959 E Lennon Dr, Emory, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588271076
- Provider Enumeration Date: 09/28/2020
- Last Update Date: 09/28/2020
Medical Identifiers
Medical identifiers for Amanda Medelline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588271076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 33816 (Texas) | 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 Medelline 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 Medelline,
959 E Lennon Dr,
Emory, TX 75440-5232
Ph: () - | Amanda Medelline,
959 E Lennon Dr,
Emory, TX 75440-5232
Ph: (903) 473-4523 |
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