Amber Nicole Durham, - Medicare Clinical Social Worker in Lexington, TN

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Amber Nicole Durham, is a medicare enrolled "Social Worker - Clinical" provider in Lexington, Tennessee. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Pathways Of Tennessee Inc and her current practice location is 9550 Highway 412 W Ste B, Lexington, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 968-8197.

Amber Nicole Durham is licensed to practice in Tennessee (license number 8605) 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 1083394670.

Contact Information

Amber Nicole Durham,
9550 Highway 412 W Ste B,
Lexington, TN 38351-5850
(731) 968-8197
(731) 967-1749

Map and Direction




Healthcare Provider's Profile

Full NameAmber Nicole Durham
GenderFemale
SpecialityClinical Social Worker
Experience8 Years
Location9550 Highway 412 W Ste B, Lexington, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amber Nicole Durham graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1083394670
  • Provider Enumeration Date: 07/19/2023
  • Last Update Date: 02/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6406219930
  • Enrollment ID: I20230830002943

Medical Identifiers

Medical identifiers for Amber Nicole Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083394670NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 8605 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pathways Of Tennessee Inc650783361340

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. Amber Nicole Durham allows following entities to bill medicare on her behalf.
Entity NamePathways Of Tennessee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497721609
PECOS PAC ID: 6507833613
Enrollment ID: O20040916000523

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. Amber Nicole Durham 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 AddressPractice Location Address
Amber Nicole Durham,
257 Bancorp South Pkwy,
Jackson, TN 38305-7582

Ph: (731) 660-8781		Amber Nicole Durham,
9550 Highway 412 W Ste B,
Lexington, TN 38351-5850

Ph: (731) 968-8197

Reviews and Comments


Social Worker in Lexington, TN

Roberta J Cotham, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 300 Holmes St, Lexington, TN 38351
Phone: 731-614-4614    
Amber S Lewis, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 844 Natchez Trace Dr N, Lexington, TN 38351
Phone: 731-967-8803    Fax: 731-967-8784

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.