Amanda Theresa Lanceleve, PMHNP-BC is a medicare enrolled "Psychiatry & Neurology - Addiction Medicine" in Haverhill, Massachusetts. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hri Clinics, Inc. and her current practice location is
116 Summer St, Haverhill, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 630-2540.
Amanda Theresa Lanceleve is licensed to practice in Massachusetts (license number RN2261672) 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 1053037424.
Provider's Profile
| Full Name | Amanda Theresa Lanceleve |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 116 Summer St, Haverhill, Massachusetts |
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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:
- Amanda Theresa Lanceleve graduated from nursing school in 2020
NPI Data:
- NPI Number: 1053037424
- Provider Enumeration Date: 10/17/2022
- Last Update Date: 10/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123499720
- Enrollment ID: I20230118001900
Medical Identifiers
Medical identifiers for Amanda Theresa Lanceleve such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053037424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN2261672 (Massachusetts) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2261672 (Massachusetts) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | RN2261672 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hri Clinics, Inc. | 8022088483 | 64 |
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 Theresa Lanceleve allows following entities to bill medicare on her behalf.
| Entity Name | Hri Clinics, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598707002
PECOS PAC ID: 8022088483
Enrollment ID: O20040731000071 |
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| Entity Name | Wp Acquisition Sub Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417420811
PECOS PAC ID: 7416291232
Enrollment ID: O20190325000247 |
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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 Theresa Lanceleve 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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Amanda Theresa Lanceleve, PMHNP-BC
116 Summer St,
Haverhill, MA 01830-6032
Ph: (781) 630-2540 | Amanda Theresa Lanceleve, PMHNP-BC
116 Summer St,
Haverhill, MA 01830-6032
Ph: (781) 630-2540 |
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