Dr Amanda Dediego, PHD, LPC, NCC, BC-TM in Casper, WY

Dr Amanda Dediego, PHD, LPC, NCC, BC-TM is a medicare enrolled "Counselor - Professional" provider in Casper, Wyoming. Her current practice location is 123 W 1st St Ste 208a, Casper, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 234-7419.

Dr Amanda Dediego is licensed to practice in Wyoming (license number 2047) 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 1992121677.

Contact Information

	Dr Amanda Dediego, PHD, LPC, NCC, BC-TM
	123 W 1st St Ste 208a, Casper, WY 82601-2480
	(307) 234-7419
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Amanda Dediego
Gender	Female
Speciality	Counselor - Professional
Location	123 W 1st St Ste 208a, Casper, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992121677
Provider Enumeration Date: 03/05/2014
Last Update Date: 06/28/2022

Medicare PECOS Information:

PECOS PAC ID: 0143668582
Enrollment ID: I20240404002645

Medical Identifiers

Medical identifiers for Dr Amanda Dediego such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992121677	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	0018339 (Colorado)	Secondary
101YP2500X	Counselor - Professional	2047 (Wyoming)	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. Dr Amanda Dediego allows following entities to bill medicare on her behalf.

Entity Name	Winds Of Change Therapy
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538621750 PECOS PAC ID: 7012351513 Enrollment ID: O20240222002738

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. Dr Amanda Dediego 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
Dr Amanda Dediego, PHD, LPC, NCC, BC-TM 123 W 1st St Ste 208a, Casper, WY 82601-2480 Ph: () -	Dr Amanda Dediego, PHD, LPC, NCC, BC-TM 123 W 1st St Ste 208a, Casper, WY 82601-2480 Ph: (307) 234-7419

Reviews and Comments

Counselor in Casper, WY

Miss Jane Elizabeth Matthews, M.S., P.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277
Kelly Lisabeth Clanton, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Antler Dr, Casper, WY 82601 Phone: 661-333-4544
Daniel J Gallegos, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Micro Rd, Casper, WY 82601 Phone: 307-262-9961
Heather Paige Thomas, MA, NCC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 940 E 3rd St Ste 212, Casper, WY 82601 Phone: 307-577-3050
Emily Kathrine Clark, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5725 Highland Dr, Casper, WY 82609 Phone: 307-265-3977
Mrs. Martha Jane Carter, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277
Michelle Grissom, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277

Dr Amanda Dediego, PHD, LPC, NCC, BC-TM - Medicare Counselor in Casper, WY