Dr Amanda Marie Mchenry, AUD is a medicare enrolled "Audiologist" provider in Clarks Summit, Pennsylvania. Her current practice location is
409 North State Street, Clarks Summit, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 586-5121.
Dr Amanda Marie Mchenry is licensed to practice in Pennsylvania (license number AT006169) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528370178.
Healthcare Provider's Profile
| Full Name | Dr Amanda Marie Mchenry |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 409 North State Street, Clarks Summit, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528370178
- Provider Enumeration Date: 07/12/2010
- Last Update Date: 06/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 7214129386
- Enrollment ID: I20101007000530
Medical Identifiers
Medical identifiers for Dr Amanda Marie Mchenry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528370178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | AT006169 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Amanda Marie Mchenry allows following entities to bill medicare on her behalf.
| Provider Name | Audiology Distribution Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164707998
PECOS PAC ID: 0840459103
Enrollment ID: O20120522000729 |
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| Provider Name | Audiology Services Company Usa Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1033585302
PECOS PAC ID: 9032414701
Enrollment ID: O20160830003043 |
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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. Dr Amanda Marie Mchenry is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Amanda Marie Mchenry, AUD
Po Box 406153,
Atlanta, GA 30384-1876
Ph: (561) 478-8770 | Dr Amanda Marie Mchenry, AUD
409 North State Street,
Clarks Summit, PA 18411-1097
Ph: (570) 586-5121 |
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