Amanda Marie Anhalt, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Sheboygan, Wisconsin. She graduated from healthcare school in 2007 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Nett Work Family Counseling Llc and her current practice location is
1011 N 8th St, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 459-3173.
Amanda Marie Anhalt is licensed to practice in Wisconsin (license number 8860-123) 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 1447758693.
Healthcare Provider's Profile
| Full Name | Amanda Marie Anhalt |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 19 Years |
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| Location | 1011 N 8th St, Sheboygan, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amanda Marie Anhalt graduated from medical school in 2007
NPI Data:
- NPI Number: 1447758693
- Provider Enumeration Date: 01/23/2018
- Last Update Date: 01/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 6608101712
- Enrollment ID: I20190711002545
Medical Identifiers
Medical identifiers for Amanda Marie Anhalt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447758693 | NPI | - | NPPES |
| 16200-132 | Other | WI | CLINICAL SUBSTANCE ABUSE COUNSELOR |
| 8860-123 | Other | WI | LICENSED CLINICAL SOCIAL WORKER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16200-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8860-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nett Work Family Counseling Llc | 5597849604 | 5 |
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 Marie Anhalt allows following entities to bill medicare on her behalf.
| Entity Name | Nett Work Family Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053406066
PECOS PAC ID: 5597849604
Enrollment ID: O20080228000182 |
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| Entity Name | County Of Sheboygan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477677615
PECOS PAC ID: 2567568918
Enrollment ID: O20080409000126 |
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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 Marie Anhalt 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 |
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Amanda Marie Anhalt, LCSW, CSAC
135 Fairview Dr,
Plymouth, WI 53073-1926
Ph: (920) 980-7801 | Amanda Marie Anhalt, LCSW, CSAC
1011 N 8th St,
Sheboygan, WI 53081-4006
Ph: (920) 459-3173 |
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