Amanda L Dubose, SLP is a medicare enrolled "Speech-language Pathologist" in Kerrville, Texas. Her current practice location is
135 Plaza Dr, Kerrville, Texas. You can reach out to her office (for appointments etc.) via phone at
(830) 460-9364.
Amanda L Dubose is licensed to practice in Texas (license number 111074) 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 1184939449.
Provider's Profile
Full Name | Amanda L Dubose |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 135 Plaza Dr, Kerrville, Texas |
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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: 1184939449
- Provider Enumeration Date: 08/11/2010
- Last Update Date: 02/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698148997
- Enrollment ID: I20230308000383
Medical Identifiers
Medical identifiers for Amanda L Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184939449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WS0200X | Registered Nurse - School | 04-0000282 (Delaware) | Secondary |
235Z00000X | Speech-language Pathologist | 01-0001165 (Delaware) | Secondary |
235Z00000X | Speech-language Pathologist | 111074 (Texas) | 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 Dubose allows following entities to bill medicare on her behalf.
Entity Name | Powerback Rehabilitation Llc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Entity Identifiers | NPI Number: 1427454164 PECOS PAC ID: 2365359932 Enrollment ID: O20150529002032 |
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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. Amanda L Dubose 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 Dubose, SLP 551 Hill Country Dr, Kerrville, TX 78028-6085 Ph: (302) 943-9569 | Amanda L Dubose, SLP 135 Plaza Dr, Kerrville, TX 78028-2230 Ph: (830) 460-9364 |
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