Ms Amanda Suzanne Potter, MS is a
Speech-language Pathologist based in Bismarck, Illinois. Ms Amanda Suzanne Potter is licensed to practice in Illinois (license number 146.007731) and her current practice location is
204 West Holloway Ave, Bismarck, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 304-1595.
NPI number for Ms Amanda Suzanne Potter is 1528487626 and her current mailing address is 204 West Holloway Ave, Bismarck, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528487626.
Healthcare Provider's Profile
Full Name | Ms Amanda Suzanne Potter |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 204 West Holloway Ave, Bismarck, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528487626
- Provider Enumeration Date: 04/16/2014
- Last Update Date: 04/16/2014
Medical Identifiers
Medical identifiers for Ms Amanda Suzanne Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528487626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146.007731 (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. Ms Amanda Suzanne Potter 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 |
Ms Amanda Suzanne Potter, MS 204 West Holloway Ave, Bismarck, IL 61814 Ph: (217) 304-1595 | Ms Amanda Suzanne Potter, MS 204 West Holloway Ave, Bismarck, IL 61814 Ph: (217) 304-1595 |
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