| Mrs Amanda Marie Czarnecki, PA-C, MMS | |
|
751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | |
| (573) 468-1120 | |
| Not Available |
| Full Name | Mrs Amanda Marie Czarnecki |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 751 Sappington Bridge Rd, Sullivan, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669646808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2008013234 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | 085006964 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Marie Czarnecki, PA-C, MMS 4075 Copper Ridge Dr, Traverse City, MI 49684-7059 Ph: (888) 632-0542 | Mrs Amanda Marie Czarnecki, PA-C, MMS 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 Ph: (573) 468-1120 |
Ms. Kate Joanna Randolph, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 751 Sappington Bridge Rd, Dept Radiology, Sullivan, MO 63080 Phone: 314-996-5170 Fax: 314-653-5832 | |
Mr. Joshua Michael Maurer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 |