Mrs Audrey Anderson, LAC LCADC in Newark, NJ - Medicare Counselor Provider

Mrs Audrey Anderson, LAC LCADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Newark, New Jersey. Her current practice location is 47 Miller Street 2nd Floor, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 596-4190.

Mrs Audrey Anderson is licensed to practice in New Jersey (license number 37LC00334900) 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 1760173264.

Contact Information

	Mrs Audrey Anderson, LAC LCADC
	47 Miller Street 2nd Floor, Newark, NJ 07114-1750
	(973) 596-4190
	(973) 639-6583

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Audrey Anderson
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	47 Miller Street 2nd Floor, Newark, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760173264
Provider Enumeration Date: 05/16/2023
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 1355875816
Enrollment ID: I20241107000375

Medical Identifiers

Medical identifiers for Mrs Audrey Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760173264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	37AC00551600 (New Jersey)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	37LC00334900 (New Jersey)	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 Audrey Anderson allows following entities to bill medicare on her behalf.

Entity Name	Mount Carmel Guild Behavioral Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174854749 PECOS PAC ID: 2668428780 Enrollment ID: O20050322000958

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 Audrey Anderson 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 Audrey Anderson, LAC LCADC 590 North 7th Street, Newark, NJ 07107 Ph: (800) 227-7705	Mrs Audrey Anderson, LAC LCADC 47 Miller Street 2nd Floor, Newark, NJ 07114-1750 Ph: (973) 596-4190

Reviews and Comments

Counselor in Newark, NJ

Janet Naranjo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 183 S Orange Ave, Newark, NJ 07103 Phone: 800-969-5300
Mr. Ariel Lippa,, LPC, LCADC, NCC. Counselor Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 973-972-4300
Ashley Escobar, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 590 N 7th St, Newark, NJ 07107 Phone: 973-596-4100
Tyra Asberry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 161 Avon Avenue Apt. D, Newark, NJ 07108 Phone: 862-588-3470
Joyce Travers-johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 183 South Orange Avenue, Newark, NJ 07103 Phone: 800-969-5300
Jomaira Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 498 Ferry Street, Newark, NJ 07105 Phone: 718-725-9895
Margarita Rivas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 Broad St Ste 606, Newark, NJ 07102 Phone: 201-822-1161

Mrs Audrey Anderson, LAC LCADC - Medicare Counselor in Newark, NJ