Mrs Amanda Lynn Overacre, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Twin Falls, Idaho. Her current practice location is
730 N College Rd Ste A-b, Twin Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 814-8000.
Mrs Amanda Lynn Overacre is licensed to practice in Idaho (license number LCSW-42059) 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 1821343815.
Healthcare Provider's Profile
| Full Name | Mrs Amanda Lynn Overacre |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 730 N College Rd Ste A-b, Twin Falls, Idaho |
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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: 1821343815
- Provider Enumeration Date: 07/17/2012
- Last Update Date: 06/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830501642
- Enrollment ID: I20210510000588
Medical Identifiers
Medical identifiers for Mrs Amanda Lynn Overacre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821343815 | NPI | - | NPPES |
| 42059 | Other | ID | LCSW |
| C013833 | Other | NC | LCSW |
| P014431 | Other | NC | LCSW-A |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 002441 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | C013833 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-42059 (Idaho) | 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. Mrs Amanda Lynn Overacre allows following entities to bill medicare on her behalf.
| Entity Name | Mcpc-11 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841635455
PECOS PAC ID: 1153564877
Enrollment ID: O20130828000793 |
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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. Mrs Amanda Lynn Overacre 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 |
|---|
Mrs Amanda Lynn Overacre, LCSW
190 E Bannock St,
Boise, ID 83712-6241
Ph: () - | Mrs Amanda Lynn Overacre, LCSW
730 N College Rd Ste A-b,
Twin Falls, ID 83301-3416
Ph: (208) 814-8000 |
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