Amanda Rose Yeazel, is a
General Practice physician based in Goshen, Indiana. Amanda Rose Yeazel is licensed to practice in Indiana (license number 28251364A) and her current practice location is 808 N 3rd St, Goshen, Indiana. She can be reached at her office (for appointments etc.) via phone at
(574) 534-3300.
NPI number for Amanda Rose Yeazel is 1144115833 and her current mailing address is 123 Oak Rd, Plymouth, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144115833.
Physician's Profile
Full Name | Amanda Rose Yeazel |
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Gender | Female |
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Speciality | General Practice |
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Location | 808 N 3rd St, Goshen, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144115833
- Provider Enumeration Date: 06/11/2025
- Last Update Date: 06/11/2025
Medical Identifiers
Medical identifiers for Amanda Rose Yeazel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144115833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 28251364A (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. Amanda Rose Yeazel 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 |
Amanda Rose Yeazel, 123 Oak Rd, Plymouth, IN 46563-9751 Ph: (574) 780-1673 | Amanda Rose Yeazel, 808 N 3rd St, Goshen, IN 46528-7100 Ph: (574) 534-3300 |
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