200 COMMODORE ST
PRATT, KS 67124-2903 US PECOS Enrolled
Overview
Amanda Wade is a Counselor in the PRATT area. Amanda Wade primary office location is at 200 COMMODORE ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164136271 and the information was updated approximately 1 year ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| LPC3578 | KS |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Counselor - Taxonomy Code 101Y00000X | KS | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | - |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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