Amanda Elizabeth Gushard-edwards, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Leesburg, Virginia. Her current practice location is
102 Heritage Way Ne Ste 302, Leesburg, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 771-5100.
Amanda Elizabeth Gushard-edwards is licensed to practice in * (Not Available) (license number ) 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 1174027221.
Healthcare Provider's Profile
Full Name | Amanda Elizabeth Gushard-edwards |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 102 Heritage Way Ne Ste 302, Leesburg, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174027221
- Provider Enumeration Date: 03/22/2018
- Last Update Date: 12/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 6406241959
- Enrollment ID: I20220318001254
Medical Identifiers
Medical identifiers for Amanda Elizabeth Gushard-edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174027221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0904013334 (Virginia) | Secondary |
101YM0800X | Counselor - Mental Health | (* (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 Elizabeth Gushard-edwards allows following entities to bill medicare on her behalf.
Entity Name | County Of Loudoun Virginia |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386753291 PECOS PAC ID: 8426039959 Enrollment ID: O20040528000959 |
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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 Elizabeth Gushard-edwards 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 Elizabeth Gushard-edwards, LCSW 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 Ph: (703) 771-5100 | Amanda Elizabeth Gushard-edwards, LCSW 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 Ph: (703) 771-5100 |
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