Ms Amber Fortenberry, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Knoxville, Tennessee. Her current practice location is
2710 Alice Bell Rd, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 214-7749.
Ms Amber Fortenberry is licensed to practice in Tennessee (license number 6972) 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 1548681935.
Healthcare Provider's Profile
Full Name | Ms Amber Fortenberry |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2710 Alice Bell Rd, Knoxville, Tennessee |
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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: 1548681935
- Provider Enumeration Date: 01/02/2014
- Last Update Date: 01/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 7214269026
- Enrollment ID: I20191029000279
Medical Identifiers
Medical identifiers for Ms Amber Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548681935 | NPI | - | NPPES |
Q050875 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 6972 (Tennessee) | 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. Ms Amber Fortenberry allows following entities to bill medicare on her behalf.
Entity Name | Mental Health Resources, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922034503 PECOS PAC ID: 4587795018 Enrollment ID: O20210629000712 |
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Entity Name | Optum Behavioral Care Of North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083480081 PECOS PAC ID: 5092120030 Enrollment ID: O20240813003368 |
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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. Ms Amber Fortenberry 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 |
Ms Amber Fortenberry, LCSW 131 Lynnwood Dr Unit 18343, Knoxville, TN 37928-5054 Ph: (865) 214-7749 | Ms Amber Fortenberry, LCSW 2710 Alice Bell Rd, Knoxville, TN 37917-1911 Ph: (865) 214-7749 |
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