Dr Amanda Christine Nellis, PHD, LPC is a medicare enrolled "Psychologist - Counseling" provider in Phoenix, Arizona. She graduated from healthcare school in 2006 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
7301 N 16th St Ste 102, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 734-0213.
Dr Amanda Christine Nellis is licensed to practice in Arizona (license number 4016) 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 1265442628.
Healthcare Provider's Profile
| Full Name | Dr Amanda Christine Nellis |
|---|
| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 20 Years |
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| Location | 7301 N 16th St Ste 102, Phoenix, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Amanda Christine Nellis graduated from medical school in 2006
NPI Data:
- NPI Number: 1265442628
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 07/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587088984
- Enrollment ID: I20200717002287
Medical Identifiers
Medical identifiers for Dr Amanda Christine Nellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265442628 | NPI | - | NPPES |
| 579401 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LPC-2216 (Arizona) | Secondary |
| 103TC1900X | Psychologist - Counseling | 4016 (Arizona) | Primary |
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. Dr Amanda Christine Nellis 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 |
|---|
Dr Amanda Christine Nellis, PHD, LPC
17080 W Saguaro Ln,
Surprise, AZ 85388-1398
Ph: (602) 301-6670 | Dr Amanda Christine Nellis, PHD, LPC
7301 N 16th St Ste 102,
Phoenix, AZ 85020-5266
Ph: (602) 734-0213 |
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