Amy Medema, is a
Counselor - School based in Randolph, Wisconsin. Amy Medema is licensed to practice in Wisconsin (license number 603148) and her current practice location is
110 Meadowood Dr, Randolph, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 326-2425.
NPI number for Amy Medema is 1396662722 and her current mailing address is 110 Meadowood Dr, Randolph, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396662722.
Healthcare Provider's Profile
| Full Name | Amy Medema |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - School |
|---|
| Location | 110 Meadowood Dr, Randolph, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396662722
- Provider Enumeration Date: 07/06/2026
- Last Update Date: 07/06/2026
Medical Identifiers
Medical identifiers for Amy Medema such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396662722 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YS0200X | Counselor - School | 603148 (Wisconsin) | 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. Amy Medema 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 |
Amy Medema, 110 Meadowood Dr, Randolph, WI 53956-1318 Ph: (920) 326-2425 | Amy Medema, 110 Meadowood Dr, Randolph, WI 53956-1318 Ph: (920) 326-2425 |
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