Mrs Amanda Jane Brodbeck, is a
Speech-language Pathologist based in Batchtown, Illinois. Mrs Amanda Jane Brodbeck is licensed to practice in Illinois (license number 146008394) and her current practice location is
Rr 1 Box 68a, Batchtown, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 396-7304.
NPI number for Mrs Amanda Jane Brodbeck is 1518082221 and her current mailing address is Rr 1 Box 68a, Batchtown, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518082221.
Healthcare Provider's Profile
Full Name | Mrs Amanda Jane Brodbeck |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | Rr 1 Box 68a, Batchtown, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518082221
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 06/28/2016
Medical Identifiers
Medical identifiers for Mrs Amanda Jane Brodbeck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518082221 | NPI | - | NPPES |
467508008 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2005032382 (Missouri) | Secondary |
235Z00000X | Speech-language Pathologist | 146008394 (Illinois) | 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. Mrs Amanda Jane Brodbeck 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 |
Mrs Amanda Jane Brodbeck, Rr 1 Box 68a, Batchtown, IL 62006-9711 Ph: (618) 396-7304 | Mrs Amanda Jane Brodbeck, Rr 1 Box 68a, Batchtown, IL 62006-9711 Ph: (618) 396-7304 |
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