Chantal Amoussou, LMHC is a medicare enrolled "Counselor - Mental Health" provider in North-baldwin, New York. Her current practice location is
1908 Bryant Place, North-baldwin, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 203-5932.
Chantal Amoussou is licensed to practice in New York (license number 012542-01) 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 1578219838.
Healthcare Provider's Profile
Full Name | Chantal Amoussou |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1908 Bryant Place, North-baldwin, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578219838
- Provider Enumeration Date: 02/25/2022
- Last Update Date: 08/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103356928
- Enrollment ID: I20250210001401
Medical Identifiers
Medical identifiers for Chantal Amoussou such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578219838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 012542-01 (New York) | 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. Chantal Amoussou allows following entities to bill medicare on her behalf.
Entity Name | Mental Health Specialty Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240621000315 |
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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. Chantal Amoussou 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 |
Chantal Amoussou, LMHC 1908 Bryant Pl, North Baldwin, NY 11510-2229 Ph: (646) 203-5932 | Chantal Amoussou, LMHC 1908 Bryant Place, North-baldwin, NY 11510 Ph: (646) 203-5932 |
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