Amanda L Dodge, in Van Nuys, CA - Medicare Marriage & Family Therapist Provider

Amanda L Dodge, is a medicare enrolled "Marriage & Family Therapist" provider in Van Nuys, California. Her current practice location is 6957 Amestoy Ave, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at (818) 652-5807.

Amanda L Dodge is licensed to practice in California (license number 124818) 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 1912756552.

Contact Information

	Amanda L Dodge,
	6957 Amestoy Ave, Van Nuys, CA 91406-4448
	(818) 652-5807
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda L Dodge
Gender	Female
Speciality	Marriage & Family Therapist
Location	6957 Amestoy Ave, Van Nuys, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912756552
Provider Enumeration Date: 05/16/2024
Last Update Date: 05/16/2024

Medicare PECOS Information:

PECOS PAC ID: 5092252999
Enrollment ID: I20240808002374

Medical Identifiers

Medical identifiers for Amanda L Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912756552	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	124818 (California)	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. Amanda L Dodge allows following entities to bill medicare on her behalf.

Entity Name	Total Life Ca Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689389603 PECOS PAC ID: 3173989332 Enrollment ID: O20230515002327

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. Amanda L Dodge 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
Amanda L Dodge, 6957 Amestoy Ave, Van Nuys, CA 91406-4448 Ph: (818) 652-5807	Amanda L Dodge, 6957 Amestoy Ave, Van Nuys, CA 91406-4448 Ph: (818) 652-5807

Reviews and Comments

Marriage & Family Therapist in Van Nuys, CA

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Hyun Kyung Carol Sim, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15350 Sherman Way Ste 200, Van Nuys, CA 91406 Phone: 818-267-1100

Amanda L Dodge, - Medicare Couples Therapy in Van Nuys, CA