Mrs Jacklyn Amankwa-amoyaw, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Clinton, Maryland. Her current practice location is
5902 Brooke Jane Dr, Clinton, Maryland. You can reach out to her office (for appointments etc.) via phone at
(240) 421-4312.
Mrs Jacklyn Amankwa-amoyaw is licensed to practice in * (Not Available) (license number ) 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 1184101552.
Healthcare Provider's Profile
Full Name | Mrs Jacklyn Amankwa-amoyaw |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5902 Brooke Jane Dr, Clinton, Maryland |
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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: 1184101552
- Provider Enumeration Date: 07/27/2018
- Last Update Date: 05/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749728665
- Enrollment ID: I20240809002835
Medical Identifiers
Medical identifiers for Mrs Jacklyn Amankwa-amoyaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184101552 | NPI | - | NPPES |
267002000 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 20993 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Jacklyn Amankwa-amoyaw allows following entities to bill medicare on her behalf.
Entity Name | Americare Therapeutic Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871283739 PECOS PAC ID: 9830637750 Enrollment ID: O20240809002527 |
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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 Jacklyn Amankwa-amoyaw 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 Jacklyn Amankwa-amoyaw, LCSW-C 5902 Brooke Jane Dr, Clinton, MD 20735-4114 Ph: (240) 421-4312 | Mrs Jacklyn Amankwa-amoyaw, LCSW-C 5902 Brooke Jane Dr, Clinton, MD 20735-4114 Ph: (240) 421-4312 |
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