Amanda Leah Rodriguez Rogers, is a medicare enrolled "Counselor - Professional" provider in Hunlock Creek, Pennsylvania. Her current practice location is
2182 State Route 29 Hwy, Hunlock Creek, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 239-8052.
Amanda Leah Rodriguez Rogers is licensed to practice in * (Not Available) (license number ) 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 1104606847.
Healthcare Provider's Profile
Full Name | Amanda Leah Rodriguez Rogers |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 2182 State Route 29 Hwy, Hunlock Creek, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104606847
- Provider Enumeration Date: 10/02/2023
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830619170
- Enrollment ID: I20250218000505
Medical Identifiers
Medical identifiers for Amanda Leah Rodriguez Rogers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104606847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | 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 Leah Rodriguez Rogers allows following entities to bill medicare on her behalf.
Entity Name | Childrens Service Center Of Wyoming Valley Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700861242 PECOS PAC ID: 1052567617 Enrollment ID: O20170609001473 |
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Entity Name | Green Phoenix Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023875010 PECOS PAC ID: 8921528266 Enrollment ID: O20250218000447 |
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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 Leah Rodriguez Rogers 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 Leah Rodriguez Rogers, 2182 State Route 29 Hwy, Hunlock Creek, PA 18621-4512 Ph: (570) 239-8052 | Amanda Leah Rodriguez Rogers, 2182 State Route 29 Hwy, Hunlock Creek, PA 18621-4512 Ph: (570) 239-8052 |
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