Ms Amanda R Manley, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Moose Lake, Minnesota. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice Gateway Family Health Clinic, Ltd., Mental Health Specialty Group Pa and her current practice location is
4570 County Road 61, Moose Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 485-4491.
Ms Amanda R Manley is licensed to practice in Minnesota (license number 4390) 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 1508693961.
Healthcare Provider's Profile
| Full Name | Ms Amanda R Manley |
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| Gender | Female |
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| Speciality | Marriage And Family Therapist |
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| Experience | 4 Years |
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| Location | 4570 County Road 61, Moose Lake, Minnesota |
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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 Amanda R Manley graduated from medical school in 2022
NPI Data:
- NPI Number: 1508693961
- Provider Enumeration Date: 09/18/2024
- Last Update Date: 06/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729510516
- Enrollment ID: I20241017003379
Medical Identifiers
Medical identifiers for Ms Amanda R Manley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508693961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | 4390 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gateway Family Health Clinic, Ltd. | 6305758657 | 17 |
| Mental Health Specialty Group Pa | 8921466228 | 726 |
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 Amanda R Manley allows following entities to bill medicare on her behalf.
| Entity Name | Gateway Family Health Clinic, Ltd. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891748042
PECOS PAC ID: 6305758657
Enrollment ID: O20031104000556 |
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| Entity Name | Mental Health Specialty Group PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20240709003795 |
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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 Amanda R Manley 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 |
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Ms Amanda R Manley, LMFT
4570 County Road 61,
Moose Lake, MN 55767-9401
Ph: (218) 485-4491 | Ms Amanda R Manley, LMFT
4570 County Road 61,
Moose Lake, MN 55767-9401
Ph: (218) 485-4491 |
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