Ashley Dawn Amburn, LCPC in O Fallon, IL - Medicare Counselor Provider

Ashley Dawn Amburn, LCPC is a medicare enrolled "Counselor" provider in O Fallon, Illinois. Her current practice location is 938 Evan Dr, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 531-9637.

Ashley Dawn Amburn is licensed to practice in Illinois (license number 180.010153) 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 1043672512.

Contact Information

	Ashley Dawn Amburn, LCPC
	938 Evan Dr, O Fallon, IL 62269-3471
	(618) 531-9637
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ashley Dawn Amburn
Gender	Female
Speciality	Counselor
Location	938 Evan Dr, O Fallon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043672512
Provider Enumeration Date: 03/24/2016
Last Update Date: 11/14/2019

Medicare PECOS Information:

PECOS PAC ID: 4688935877
Enrollment ID: I20250605002700

Medical Identifiers

Medical identifiers for Ashley Dawn Amburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043672512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	180.010153 (Illinois)	Secondary
101Y00000X	Counselor	180.010153 (Illinois)	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. Ashley Dawn Amburn allows following entities to bill medicare on her behalf.

Entity Name	Hoyleton Youth And Family Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083073977 PECOS PAC ID: 4789194176 Enrollment ID: O20250605002495

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. Ashley Dawn Amburn 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
Ashley Dawn Amburn, LCPC 938 Evan Dr, O Fallon, IL 62269-3471 Ph: (618) 531-9637	Ashley Dawn Amburn, LCPC 938 Evan Dr, O Fallon, IL 62269-3471 Ph: (618) 531-9637

Reviews and Comments

Counselor in O Fallon, IL

Nataly Johana Hatfield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 W Highway 50, O Fallon, IL 62269 Phone: 618-468-8069
Mr. George A Bates, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Eagle Center, O Fallon, IL 62269 Phone: 618-624-1234 Fax: 618-624-2027
Mrs. Christianne Meier Judy, MSW, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 635 S Lincoln Ave, O Fallon, IL 62269 Phone: 618-530-7110
Leia Katherine Stein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 785 Wall St Ste 200, O Fallon, IL 62269 Phone: 618-670-9069
Ms. Mindy M Stratmann-sebol, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 781 Forest Green Dr, O Fallon, IL 62269 Phone: 618-581-6454
Brooke Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 W Highway 50, O Fallon, IL 62269 Phone: 618-792-5200

Ashley Dawn Amburn, LCPC - Medicare Counselor in O Fallon, IL