Dr Amanda Ammentorp, DO is a
Emergency Medicine physician based in Mc Guire Afb, New Jersey. Dr Amanda Ammentorp is licensed to practice in Pennsylvania (license number OT022056) and her current practice location is 3458 Neely Rd, Mc Guire Afb, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(866) 377-2778.
NPI number for Dr Amanda Ammentorp is 1952868606 and her current mailing address is 3458 Neely Rd, Mc Guire Afb, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952868606.
Physician's Profile
| Full Name | Dr Amanda Ammentorp |
|---|
| Gender | Female |
|---|
| Speciality | Emergency Medicine |
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| Location | 3458 Neely Rd, Mc Guire Afb, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952868606
- Provider Enumeration Date: 02/28/2019
- Last Update Date: 06/30/2026
Medical Identifiers
Medical identifiers for Dr Amanda Ammentorp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952868606 | NPI | - | NPPES |
| 1952868606 | Other | | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 68149 (Minnesota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | OT022056 (Pennsylvania) | 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. Dr Amanda Ammentorp 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 |
Dr Amanda Ammentorp, DO 3458 Neely Rd, Mc Guire Afb, NJ 08641-5312 Ph: () - | Dr Amanda Ammentorp, DO 3458 Neely Rd, Mc Guire Afb, NJ 08641-5312 Ph: (866) 377-2778 |
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