Amanda Eberly, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Fruitland, Maryland. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Evolve Mental Wellness and her current practice location is
188 Nina Ln, Fruitland, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 683-0620.
Amanda Eberly is licensed to practice in Maryland (license number 20921) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083151823.
Healthcare Provider's Profile
| Full Name | Amanda Eberly |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 188 Nina Ln, Fruitland, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amanda Eberly graduated from medical school in 2015
NPI Data:
- NPI Number: 1083151823
- Provider Enumeration Date: 01/31/2017
- Last Update Date: 03/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 3173977261
- Enrollment ID: I20230922002025
Medical Identifiers
Medical identifiers for Amanda Eberly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083151823 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 20921 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Evolve Mental Wellness | 6608266846 | 18 |
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 Eberly allows following entities to bill medicare on her behalf.
| Entity Name | Evolve Mental Wellness |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912597857 PECOS PAC ID: 6608266846 Enrollment ID: O20211202001909 |
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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 Eberly 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 |
Amanda Eberly, LCSW-C 188 Nina Ln, Fruitland, MD 21826-1900 Ph: (443) 683-0620 | Amanda Eberly, LCSW-C 188 Nina Ln, Fruitland, MD 21826-1900 Ph: (443) 683-0620 |
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