MEDICARE: AMANDA METHNER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	5601011933	MI

General Provider Information

NPI Number	:	1851026587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA METHNER PA-C

Provider Business Mailing Address
First Line	:	2117 16TH ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-7607
Country	:	US
Telephone Number	:	989-720-7540
Fax Number	:	989-720-7541

Provider Business Practice Location Address
First Line	:	2117 16TH ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-7607
Country	:	US
Telephone Number	:	989-720-7540
Fax Number	:	989-720-7541

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2022
Last Update Date	:	07/29/2025

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Directions to “ AMANDA METHNER PA-C” Practice Location

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