Mrs Amanda Lois Self, LCSW in North Little Rock, AR - Medicare Clinical Social Worker Provider

Mrs Amanda Lois Self, LCSW is a medicare enrolled "Social Worker - Clinical" provider in North Little Rock, Arkansas. She graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Brightside Medical Of Michigan Pc and her current practice location is 4354 Stockton Dr, North Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 221-1843.

Mrs Amanda Lois Self is licensed to practice in Arkansas (license number 2615-C) 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 1982957742.

Contact Information

	Mrs Amanda Lois Self, LCSW
	4354 Stockton Dr, North Little Rock, AR 72117-2917
	(501) 221-1843
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Amanda Lois Self
Gender	Female
Speciality	Clinical Social Worker
Experience	19 Years
Location	4354 Stockton Dr, North Little Rock, Arkansas
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:

Mrs Amanda Lois Self graduated from medical school in 2006

NPI Data:

NPI Number: 1982957742
Provider Enumeration Date: 10/17/2012
Last Update Date: 10/17/2012

Medicare PECOS Information:

PECOS PAC ID: 5092172171
Enrollment ID: I20230605002525

Medical Identifiers

Medical identifiers for Mrs Amanda Lois Self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982957742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2615-C (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brightside Medical Of Michigan Pc	9830562776	77

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. Mrs Amanda Lois Self allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230821000585

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. Mrs Amanda Lois Self 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
Mrs Amanda Lois Self, LCSW Po Box 15968, Little Rock, AR 72231-5968 Ph: (501) 221-1843	Mrs Amanda Lois Self, LCSW 4354 Stockton Dr, North Little Rock, AR 72117-2917 Ph: (501) 221-1843

Reviews and Comments

Social Worker in North Little Rock, AR

Deborah B. Deacon, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1920 Main St, Suite 231, North Little Rock, AR 72114 Phone: 501-944-0030
Mr. Johnnie Ross Jr., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3123
Monica Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr Bldg 170, North Little Rock, AR 72114 Phone: 501-257-1000
Carrie Ellen Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5021 Arlington Dr, North Little Rock, AR 72116 Phone: 501-837-8383
Mrs. Katherine Milholland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3211
Mrs. Debra Inez Calhoun, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, 122/nlr, North Little Rock, AR 72114 Phone: 501-257-3308 Fax: 501-257-3301
Mr. Ralph Chris Nash, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4806 Rixie Rd, North Little Rock, AR 72117 Phone: 501-500-2111 Fax: 501-244-9999

Mrs Amanda Lois Self, LCSW - Medicare Clinical Social Worker in North Little Rock, AR