Adelowo Amole, MA, LMHC in Coram, NY - Medicare Counselor Provider

Adelowo Amole, MA, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Coram, New York. His current practice location is 3600 Route 112, Coram, New York. You can reach out to his office (for appointments etc.) via phone at (631) 920-8546.

Adelowo Amole is licensed to practice in New York (license number 015463) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093444101.

Contact Information

	Adelowo Amole, MA, LMHC
	3600 Route 112, Coram, NY 11727-4116
	(631) 920-8546
	(929) 244-4997

Map and Direction

Healthcare Provider's Profile

Full Name	Adelowo Amole
Gender	Male
Speciality	Counselor - Mental Health
Location	3600 Route 112, Coram, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093444101
Provider Enumeration Date: 06/06/2022
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 9638696347
Enrollment ID: I20250506003435

Medical Identifiers

Medical identifiers for Adelowo Amole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093444101	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	015463 (New York)	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. Adelowo Amole allows following entities to bill medicare on his behalf.

Entity Name	Psch Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932125721 PECOS PAC ID: 0749179570 Enrollment ID: O20040311000454

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. Adelowo Amole 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
Adelowo Amole, MA, LMHC 3600 Route 112, Coram, NY 11727-4116 Ph: (631) 920-8546	Adelowo Amole, MA, LMHC 3600 Route 112, Coram, NY 11727-4116 Ph: (631) 920-8546

Reviews and Comments

Counselor in Coram, NY

Raquel Fernandes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8500
Shannon Tierney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8610
Marie L Morin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Selvia Ct, Coram, NY 11727 Phone: 516-729-1845
Janine Lynn Colasuonno, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8302
Joseph Michael Ricciardi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8500 Fax: 631-920-8501
Ms. Frances Atanasio I, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8500 Fax: 631-920-8501

Adelowo Amole, MA, LMHC - Medicare Counselor in Coram, NY