Amanda Dawn Kazee, LCAS, LCSWA is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Wilmington, North Carolina. Her current practice location is
615 Shipyard Blvd, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 343-0145.
Amanda Dawn Kazee is licensed to practice in * (Not Available) (license number 20918) 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 1871007963.
Healthcare Provider's Profile
| Full Name | Amanda Dawn Kazee |
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| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 615 Shipyard Blvd, Wilmington, North Carolina |
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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: 1871007963
- Provider Enumeration Date: 11/28/2017
- Last Update Date: 07/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 4587072301
- Enrollment ID: I20210415002641
Medical Identifiers
Medical identifiers for Amanda Dawn Kazee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871007963 | NPI | - | NPPES |
| 20918 | Other | | LCSWA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | P012256 (North Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20918 (* (Not Available)) | 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. Amanda Dawn Kazee allows following entities to bill medicare on her behalf.
| Entity Name | Coastal Horizons Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922022607
PECOS PAC ID: 9739267964
Enrollment ID: O20080429000046 |
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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. Amanda Dawn Kazee 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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Amanda Dawn Kazee, LCAS, LCSWA
615 Shipyard Blvd,
Wilmington, NC 28412-6431
Ph: (910) 343-0145 | Amanda Dawn Kazee, LCAS, LCSWA
615 Shipyard Blvd,
Wilmington, NC 28412
Ph: (910) 343-0145 |
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