Amanda Balk, RD, LD, PA-C is a medicare enrolled "Physician Assistant" provider in De Soto, Missouri. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Midwest Medical Practitioners Llc and her current practice location is
120 Boyd St, De Soto, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 282-0380.
Amanda Balk is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851806467.
Healthcare Provider's Profile
| Full Name | Amanda Balk |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 120 Boyd St, De Soto, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amanda Balk graduated from medical school in 2022
NPI Data:
- NPI Number: 1851806467
- Provider Enumeration Date: 12/05/2017
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719360528
- Enrollment ID: I20220811001263
Medical Identifiers
Medical identifiers for Amanda Balk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851806467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Midwest Medical Practitioners Llc | 8729398425 | 6 |
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 Balk is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Amanda Balk, RD, LD, PA-C 120 Boyd St, De Soto, MO 63020-1702 Ph: () - | Amanda Balk, RD, LD, PA-C 120 Boyd St, De Soto, MO 63020-1702 Ph: (636) 282-0380 |
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