Mrs Amanda A Petker, OT is a
Occupational Therapist - Hand based in Elwood, Indiana. Mrs Amanda A Petker is licensed to practice in Indiana (license number 31004646A) and her current practice location is
226 S Anderson St Ste B, Elwood, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 552-8460.
NPI number for Mrs Amanda A Petker is 1902065139 and her current mailing address is 226 S Anderson St Ste B, Elwood, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902065139.
Healthcare Provider's Profile
Full Name | Mrs Amanda A Petker |
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Gender | Female |
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Speciality | Occupational Therapist - Hand |
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Location | 226 S Anderson St Ste B, Elwood, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902065139
- Provider Enumeration Date: 06/03/2008
- Last Update Date: 01/26/2011
Medical Identifiers
Medical identifiers for Mrs Amanda A Petker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902065139 | NPI | - | NPPES |
P00702440 | Other | IN | RR MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 31004646A (Indiana) | Secondary |
225XH1200X | Occupational Therapist - Hand | 31004646A (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. Mrs Amanda A Petker 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 |
Mrs Amanda A Petker, OT 226 S Anderson St Ste B, Elwood, IN 46036-2015 Ph: (765) 552-8460 | Mrs Amanda A Petker, OT 226 S Anderson St Ste B, Elwood, IN 46036-2015 Ph: (765) 552-8460 |
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