Ms Amber Fortenberry, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Knoxville, Tennessee. She graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mental Health Resources, Pllc and 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
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 1548681935.
Healthcare Provider's Profile
| Full Name | Ms Amber Fortenberry |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 2710 Alice Bell Rd, Knoxville, Tennessee |
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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:
- Ms Amber Fortenberry graduated from medical school in 2012
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mental Health Resources, Pllc | 4587795018 | 14 |
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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