Amanda Brenton, is a
Speech-language Pathologist based in Lizton, Indiana. Amanda Brenton is licensed to practice in Indiana (license number 22004549A) and her current practice location is
118 Stillmeadow Dr, Lizton, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 856-5201.
NPI number for Amanda Brenton is 1376788323 and her current mailing address is 118 Stillmeadow Dr, Lizton, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376788323.
Healthcare Provider's Profile
| Full Name | Amanda Brenton |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 118 Stillmeadow Dr, Lizton, Indiana |
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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: 1376788323
- Provider Enumeration Date: 12/04/2008
- Last Update Date: 12/04/2008
Medical Identifiers
Medical identifiers for Amanda Brenton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376788323 | NPI | - | NPPES |
| 22004549A | Other | IN | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 22004549A (Indiana) | 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 Brenton 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 Brenton,
118 Stillmeadow Dr,
Lizton, IN 46149-9243
Ph: (317) 856-5201 | Amanda Brenton,
118 Stillmeadow Dr,
Lizton, IN 46149-9243
Ph: (317) 856-5201 |
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