Amber Callaway, LPC in Fordyce, AR - Medicare Counselor Provider

Amber Callaway, LPC is a medicare enrolled "Counselor - Mental Health" provider in Fordyce, Arkansas. Her current practice location is 300 N Clifton St, Fordyce, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 352-5122.

Amber Callaway is licensed to practice in Arkansas (license number P1603041) 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 1982922035.

Contact Information

	Amber Callaway, LPC
	300 N Clifton St, Fordyce, AR 71742-3055
	(870) 352-5122
	(870) 352-5127

Map and Direction

Healthcare Provider's Profile

Full Name	Amber Callaway
Gender	Female
Speciality	Counselor - Mental Health
Location	300 N Clifton St, Fordyce, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982922035
Provider Enumeration Date: 05/13/2010
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1850740630
Enrollment ID: I20231213002293

Medical Identifiers

Medical identifiers for Amber Callaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982922035	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	P1603041 (Arkansas)	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. Amber Callaway allows following entities to bill medicare on her behalf.

Entity Name	Lumina Revenue Cycle Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154894954 PECOS PAC ID: 0941603922 Enrollment ID: O20210728002446

Entity Name	Mental Health Specialty Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240809001784

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. Amber Callaway 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
Amber Callaway, LPC 300 N Clifton St, Fordyce, AR 71742-3055 Ph: (870) 352-5122	Amber Callaway, LPC 300 N Clifton St, Fordyce, AR 71742-3055 Ph: (870) 352-5122

Reviews and Comments

Counselor in Fordyce, AR

Judy Prince, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127
Brandy Tydingco, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127
Lesley Self Ford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 N Clifton St, Fordyce, AR 71742 Phone: 870-352-6311 Fax: 870-352-0223
Frankie Hickman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127
Jeanna Pennington, LPC Counselor Medicare: Medicare Enrolled Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127
Tracy Ann Pefferkorn, LPC Counselor Medicare: Medicare Enrolled Practice Location: 403 Filmore St., Fordyce, AR 71742 Phone: 870-313-1579 Fax: 870-352-5127
Mrs. Roselle Roberson, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W 3rd St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127

Amber Callaway, LPC - Medicare Counselor in Fordyce, AR