Ms Amanda Rae Stanek, MS CCC-SLP is a
Specialist/technologist based in Roberts, Wisconsin. Ms Amanda Rae Stanek is licensed to practice in Wisconsin (license number 3037-154) and her current practice location is
204 W Warren St, Roberts, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 749-3890.
NPI number for Ms Amanda Rae Stanek is 1962695080 and her current mailing address is 204 W Warren St, Roberts, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962695080.
Healthcare Provider's Profile
| Full Name | Ms Amanda Rae Stanek |
|---|
| Gender | Female |
|---|
| Speciality | Specialist/technologist |
|---|
| Location | 204 W Warren St, Roberts, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962695080
- Provider Enumeration Date: 08/22/2007
- Last Update Date: 06/29/2010
Medical Identifiers
Medical identifiers for Ms Amanda Rae Stanek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962695080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 683620 (Wisconsin) | Secondary |
| 235Z00000X | Speech-language Pathologist | 3037-154 (Wisconsin) | Secondary |
| 235500000X | Specialist/technologist | 3037-154 (Wisconsin) | 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. Ms Amanda Rae Stanek 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 |
Ms Amanda Rae Stanek, MS CCC-SLP 204 W Warren St, Roberts, WI 54023-9617 Ph: (715) 749-3890 | Ms Amanda Rae Stanek, MS CCC-SLP 204 W Warren St, Roberts, WI 54023-9617 Ph: (715) 749-3890 |
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