Mrs Amy Marie Tardy, PHD, LCPC-C in Waterville, ME

Mrs Amy Marie Tardy, PHD, LCPC-C is a medicare enrolled "Counselor - Professional" provider in Waterville, Maine. Her current practice location is 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 616-0499.

Mrs Amy Marie Tardy is licensed to practice in Maine (license number XL5067) 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 1780233445.

Contact Information

	Mrs Amy Marie Tardy, PHD, LCPC-C
	325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901
	(207) 616-0499
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Amy Marie Tardy
Gender	Female
Speciality	Counselor - Professional
Location	325 Kmd, Building D - Unit 4, Waterville, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780233445
Provider Enumeration Date: 09/05/2019
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6002264207
Enrollment ID: I20240110001547

Medical Identifiers

Medical identifiers for Mrs Amy Marie Tardy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780233445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	XL5067 (Maine)	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 Amy Marie Tardy allows following entities to bill medicare on her behalf.

Entity Name	Waters Edge Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053761270 PECOS PAC ID: 9133526510 Enrollment ID: O20210928001417

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 Amy Marie Tardy 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 Amy Marie Tardy, PHD, LCPC-C Po Box 1626, Waterville, ME 04903-1626 Ph: (207) 616-0499	Mrs Amy Marie Tardy, PHD, LCPC-C 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 Ph: (207) 616-0499

Reviews and Comments

Counselor in Waterville, ME

Ryan David Wells, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 32 College Ave, Suite 206, Waterville, ME 04901 Phone: 207-680-2065 Fax: 207-680-2068
Dr. Jeri W Stevens, PH.D., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Front St, Waterville, ME 04901 Phone: 207-872-7558
Mr. Thomas Louis Mcwalters, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Front St, Waterville, ME 04901 Phone: 207-649-1762
Lisa Jean Meacham, LSW, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Airport Rd, Waterville, ME 04901 Phone: 207-872-7272 Fax: 207-872-0639
Deborah M Bachand, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Water St, Suite 306, Waterville, ME 04901 Phone: 207-861-3505 Fax: 207-861-3470
Garrett Brandon Ellis, LCPC/C Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Eustis Pkwy, Waterville, ME 04901 Phone: 207-873-2136
Katlynn Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Airport Rd, Waterville, ME 04901 Phone: 207-872-7272

Mrs Amy Marie Tardy, PHD, LCPC-C - Medicare Counselor in Waterville, ME