Amanda Marie Painter, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wellsville, Utah. Her current practice location is
2180 S 1450 W, Wellsville, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 695-5520.
Amanda Marie Painter is licensed to practice in Utah (license number 8934266-3501) 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 1013265644.
Healthcare Provider's Profile
| Full Name | Amanda Marie Painter |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2180 S 1450 W, Wellsville, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013265644
- Provider Enumeration Date: 08/29/2012
- Last Update Date: 11/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597292847
- Enrollment ID: I20241226002707
Medical Identifiers
Medical identifiers for Amanda Marie Painter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013265644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 8934266-3501 (Utah) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8934266-3501 (Utah) | Secondary |
| 101YM0800X | Counselor - Mental Health | 8934266-3501 (Utah) | Secondary |
| 104100000X | Social Worker | 8934266-3501 (Utah) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 8934266-3501 (Utah) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8934266-3501 (Utah) | 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 Marie Painter allows following entities to bill medicare on her behalf.
| Entity Name | Mcleod Medical Centers Of Nm Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700393782
PECOS PAC ID: 5092075531
Enrollment ID: O20180201001863 |
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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 Painter 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 Painter, LCSW
2180 S 1450 W,
Wellsville, UT 84339-6733
Ph: (801) 695-5520 | Amanda Marie Painter, LCSW
2180 S 1450 W,
Wellsville, UT 84339-6733
Ph: (801) 695-5520 |
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