Amanda Holloway, in Riverdale, GA - Medicare Counselor Provider

Amanda Holloway, is a medicare enrolled "Counselor - Professional" provider in Riverdale, Georgia. Her current practice location is 150 Medical Way, Riverdale, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 709-8373.

Amanda Holloway is licensed to practice in Georgia (license number LPC008361) 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 1114385598.

Contact Information

	Amanda Holloway,
	150 Medical Way, Riverdale, GA 30274-2533
	(404) 709-8373
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Holloway
Gender	Female
Speciality	Counselor - Professional
Location	150 Medical Way, Riverdale, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114385598
Provider Enumeration Date: 02/01/2016
Last Update Date: 02/01/2016

Medicare PECOS Information:

PECOS PAC ID: 4981040102
Enrollment ID: I20240311002500

Medical Identifiers

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

Identifier	Type	State	Issuer
1114385598	NPI	-	NPPES
13678783	Other	GA	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC008361 (Georgia)	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. Amanda Holloway allows following entities to bill medicare on her behalf.

Entity Name	Positive Impact Health Centers, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790861995 PECOS PAC ID: 5496721987 Enrollment ID: O20040907000653

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. Amanda Holloway 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
Amanda Holloway, 150 Medical Way, Riverdale, GA 30274-2533 Ph: (404) 709-8373	Amanda Holloway, 150 Medical Way, Riverdale, GA 30274-2533 Ph: (404) 709-8373

Reviews and Comments

Counselor in Riverdale, GA

Carrie B Savage, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 Medical Center Dr, Riverdale, GA 30274 Phone: 770-766-7006
Robyn Kelly Goodart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 277 Medical Way, Riverdale, GA 30274 Phone: 470-298-7236
Shontiaya S. Patterson, FNP Counselor Medicare: Medicare Enrolled Practice Location: 1324 Highway 138 Sw, Riverdale, GA 30296 Phone: 770-907-4949 Fax: 770-907-4022
Gabrielle Rene Waters, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 136 Highway 138 Sw Ste 400, Riverdale, GA 30274 Phone: 470-269-0190
Luciana Renea Wright, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6373 Bell Haven Ln, Riverdale, GA 30296 Phone: 478-998-9531
Ylonda N Hadley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8455 Highway 85, Bldg 200 Suite A3, Riverdale, GA 30274 Phone: 678-778-9567 Fax: 678-817-3961

Amanda Holloway, - Medicare Counselor in Riverdale, GA