Amanda Maxwell Decrow, PHD - Medicare in Charlotte, NC

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Amanda Maxwell Decrow, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Charlotte, North Carolina. Her current practice location is 1001 Blythe Blvd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 355-0101.

Amanda Maxwell Decrow is licensed to practice in North Carolina (license number 5259) 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 1144504465.

Contact Information

Amanda Maxwell Decrow, PHD
1001 Blythe Blvd,
Charlotte, NC 28203-5866
(704) 355-0101
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAmanda Maxwell Decrow
GenderFemale
SpecialityClinical Neuropsychologist
Location1001 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144504465
  • Provider Enumeration Date: 10/05/2011
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385876523
  • Enrollment ID: I20180208001274

Medical Identifiers

Medical identifiers for Amanda Maxwell Decrow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144504465NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 5259 (North Carolina)Secondary
103G00000XClinical Neuropsychologist 5259 (North Carolina)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 Maxwell Decrow allows following entities to bill medicare on her behalf.
Entity NameCarolinas Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116
Entity NameThe Charlotte-mecklenburg Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605

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 Maxwell Decrow 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 AddressPractice Location Address
Amanda Maxwell Decrow, PHD
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -		Amanda Maxwell Decrow, PHD
1001 Blythe Blvd,
Charlotte, NC 28203-5866

Ph: (704) 355-0101

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.