Amy M Bobalik, RD is a
Dietitian, Registered based in Pierceton, Indiana. Amy M Bobalik is licensed to practice in Indiana (license number 37001977A) and her current practice location is
5 Matchett Dr, Us Hwy 30 W, Pierceton, Indiana. She can be reached at her office (for appointments etc.) via phone at
(574) 594-2136.
NPI number for Amy M Bobalik is 1497060511 and her current mailing address is 1234 E Dupont Rd, Suite 1, Fort Wayne, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497060511.
Healthcare Provider's Profile
| Full Name | Amy M Bobalik |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 5 Matchett Dr, Pierceton, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497060511
- Provider Enumeration Date: 08/12/2010
- Last Update Date: 03/25/2013
Medical Identifiers
Medical identifiers for Amy M Bobalik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497060511 | NPI | - | NPPES |
| 000000675220 | Other | IN | ANTHEM |
| 000000675210 | Other | IN | ANTHEM |
| 000000675021 | Other | IN | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 37001977A (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. Amy M Bobalik 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 M Bobalik, RD 1234 E Dupont Rd, Suite 1, Fort Wayne, IN 46825-1545 Ph: (260) 373-9700 | Amy M Bobalik, RD 5 Matchett Dr, Us Hwy 30 W, Pierceton, IN 46562-9073 Ph: (574) 594-2136 |
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