Mark Amendola, is a
Physical Therapist based in Sweet Home, Oregon. Mark Amendola is licensed to practice in Oregon (license number 5201) and his current practice location is
646 Holley Rd, Sweet Home, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 451-6272.
NPI number for Mark Amendola is 1700052743 and his current mailing address is 646 Holley Rd, Sweet Home, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700052743.
Healthcare Provider's Profile
| Full Name | Mark Amendola |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 646 Holley Rd, Sweet Home, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700052743
- Provider Enumeration Date: 04/30/2008
- Last Update Date: 04/30/2008
Medical Identifiers
Medical identifiers for Mark Amendola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700052743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 5201 (Oregon) | 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. Mark Amendola 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 |
|---|
Mark Amendola,
646 Holley Rd,
Sweet Home, OR 97386-3344
Ph: () - | Mark Amendola,
646 Holley Rd,
Sweet Home, OR 97386-3344
Ph: (541) 451-6272 |
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