MEDICARE: ADVANCED MEDICAL ENTERPRISES LP

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1275770356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED MEDICAL ENTERPRISES LP

Provider Business Mailing Address
First Line	:	PO BOX 5765
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73083-5765
Country	:	US
Telephone Number	:	877-440-4163
Fax Number	:	405-600-1948

Provider Business Practice Location Address
First Line	:	5944 W PARKER RD
Second Line	:	SUITE 300
City	:	PLANO
State	:	TX
Zip	:	75093-6421
Country	:	US
Telephone Number	:	469-241-0081
Fax Number	:	469-241-0372

Authorized Official
Title or Position	:	INSURANCE CONTRACTING SPECIALIST
Name	:	SHELLI M WALL
Credential	:
Telephone Number	:	405-285-4914

Provider Enumeration Date	:	01/12/2009
Last Update Date	:	01/12/2009

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