Amye Renee Gourley, LCSW in Knox, IN - Medicare Social Worker Provider

Amye Renee Gourley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Knox, Indiana. Her current practice location is 11060 E Division Rd, Knox, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 707-8523.

Amye Renee Gourley is licensed to practice in Indiana (license number 34009709A) 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 1558006924.

Contact Information

	Amye Renee Gourley, LCSW
	11060 E Division Rd, Knox, IN 46534-8733
	(219) 707-8523
	(219) 707-8523

Map and Direction

Healthcare Provider's Profile

Full Name	Amye Renee Gourley
Gender	Female
Speciality	Social Worker - Clinical
Location	11060 E Division Rd, Knox, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558006924
Provider Enumeration Date: 05/01/2022
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 0941722011
Enrollment ID: I20250318002271

Medical Identifiers

Medical identifiers for Amye Renee Gourley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558006924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34009709A (Indiana)	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. Amye Renee Gourley allows following entities to bill medicare on her behalf.

Entity Name	Life And Trauma Survivor Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619432119 PECOS PAC ID: 7517487382 Enrollment ID: O20250224001748

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. Amye Renee Gourley 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
Amye Renee Gourley, LCSW 11060 E Division Rd, Knox, IN 46534-8733 Ph: (574) 806-4357	Amye Renee Gourley, LCSW 11060 E Division Rd, Knox, IN 46534-8733 Ph: (219) 707-8523

Reviews and Comments

Social Worker in Knox, IN

Michelle Burbank, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Edgewood Dr. Suite 1, Knox, IN 46534 Phone: 574-772-8321
Kimberly R Welsh, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 104 E Culver Rd Ste 106, Knox, IN 46534 Phone: 574-772-7400 Fax: 574-772-0299
Mrs. Charolette J. Riale, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1003 S Edgewood Dr, Knox, IN 46534 Phone: 574-772-4040 Fax: 574-772-7144

Amye Renee Gourley, LCSW - Medicare Clinical Social Worker in Knox, IN