| Tamara Marie Amendt, PA-C | |
|
1200 6th Avenue North, Centracare Clinic River Campus Heart And Vascular Cente, St Clodu, MN 56303-2735 | |
| (320) 656-7020 | |
| (320) 255-5943 |
| Full Name | Tamara Marie Amendt |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1200 6th Avenue North, St Clodu, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831537380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 1902 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 11327 (Minnesota) | Primary |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Centracare Health-paynesville LLC |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1205269941 PECOS PAC ID: 1153555719 Enrollment ID: O20131108000012 |
| Entity Name | Centracare Health-paynesville LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629402516 PECOS PAC ID: 1153555719 Enrollment ID: O20140909002390 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Marie Amendt, PA-C 1200 6th Avenue North, Centracare Clinic River Campus Heart And Vascular Cente, St Cloud, MN 56303-2735 Ph: (320) 656-7020 | Tamara Marie Amendt, PA-C 1200 6th Avenue North, Centracare Clinic River Campus Heart And Vascular Cente, St Clodu, MN 56303-2735 Ph: (320) 656-7020 |