Amanda Tadlock, EDS, MA in Gaston, SC - Medicare Mental Health Counselor Provider

Amanda Tadlock, EDS, MA is a medicare enrolled "Counselor - Mental Health" provider in Gaston, South Carolina. She graduated from healthcare school in 2009 and has 17 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice South Carolina Dept Of Mental Health Accounting Office and her current practice location is 3965 Fish Hatchery Rd, Gaston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 755-2261.

Amanda Tadlock is licensed to practice in Virginia (license number 0701005494) 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 1659701829.

Contact Information

	Amanda Tadlock, EDS, MA
	3965 Fish Hatchery Rd, Gaston, SC 29053-9038
	(803) 755-2261
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Tadlock
Gender	Female
Speciality	Mental Health Counselor
Experience	17 Years
Location	3965 Fish Hatchery Rd, Gaston, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda Tadlock graduated from medical school in 2009

NPI Data:

NPI Number: 1659701829
Provider Enumeration Date: 11/25/2013
Last Update Date: 11/25/2013

Medicare PECOS Information:

PECOS PAC ID: 6305378902
Enrollment ID: I20241021004145

Medical Identifiers

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

Identifier	Type	State	Issuer
1659701829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0701005494 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Carolina Dept Of Mental Health Accounting Office	9032021175	206

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 Tadlock allows following entities to bill medicare on her behalf.

Entity Name	South Carolina Dept Of Mental Health Accounting Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041

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 Tadlock 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 Tadlock, EDS, MA 301 Palmetto Park Blvd, Lexington, SC 29072-7872 Ph: (803) 996-1500	Amanda Tadlock, EDS, MA 3965 Fish Hatchery Rd, Gaston, SC 29053-9038 Ph: (803) 755-2261

Reviews and Comments

Counselor in Gaston, SC

Angela Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Cranbrook Ct, Gaston, SC 29053 Phone: 803-201-2534
Katasha Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Woodcote Dr, Gaston, SC 29053 Phone: 803-546-4834
Mrs. Eria Bridgeman, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 Gaston St, Gaston, SC 29053 Phone: 803-447-5942 Fax: 803-764-7628
Mandy N. Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3961 Fish Hatchery Rd, Gaston, SC 29053 Phone: 803-996-1500
Ms. Julianna Brynne Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1344 Mack St, Gaston, SC 29053 Phone: 803-386-1626
Mark Joseph Meglino, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 3965 Fish Hatchery Rd, Gaston, SC 29053 Phone: 803-755-2261

Amanda Tadlock, EDS, MA - Medicare Counselor in Gaston, SC