Amanda Ann Fedders, DPT is a medicare enrolled "Physical Therapist" provider in Boyden, Iowa. Her current practice location is
3971 320th St, Boyden, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 725-6800.
Amanda Ann Fedders is licensed to practice in Iowa (license number 125791) 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 1871334755.
Healthcare Provider's Profile
| Full Name | Amanda Ann Fedders |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 3971 320th St, Boyden, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871334755
- Provider Enumeration Date: 06/04/2024
- Last Update Date: 07/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870039175
- Enrollment ID: I20240723002770
Medical Identifiers
Medical identifiers for Amanda Ann Fedders such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871334755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 125791 (Iowa) | 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. Amanda Ann Fedders allows following entities to bill medicare on her behalf.
| Provider Name | Sanford Health Network |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134787930
PECOS PAC ID: 6800707100
Enrollment ID: O20040324000654 |
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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. Amanda Ann Fedders 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 |
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Amanda Ann Fedders, DPT
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: () - | Amanda Ann Fedders, DPT
3971 320th St,
Boyden, IA 51234-7500
Ph: (712) 725-6800 |
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