Dr Amanda Aller Goldman, PHD, LCPC is a medicare enrolled "Counselor - Professional" provider in Aurora, Illinois. Her current practice location is
2755 Church Rd, Aurora, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 486-3800.
Dr Amanda Aller Goldman is licensed to practice in Illinois (license number 180005461) 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 1811090343.
Healthcare Provider's Profile
| Full Name | Dr Amanda Aller Goldman |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 2755 Church Rd, Aurora, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811090343
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 03/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123499712
- Enrollment ID: I20250421001957
Medical Identifiers
Medical identifiers for Dr Amanda Aller Goldman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811090343 | NPI | - | NPPES |
| 119856343168 | Other | | HUMANA |
| 0001634918 | Other | IL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 180005461 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180005461 (Illinois) | 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. Dr Amanda Aller Goldman allows following entities to bill medicare on her behalf.
| Entity Name | East Aurora Counseling Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598277147
PECOS PAC ID: 6305367392
Enrollment ID: O20250306001909 |
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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. Dr Amanda Aller Goldman 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 |
|---|
Dr Amanda Aller Goldman, PHD, LCPC
146 South Lincoln Avenue,
Aurora, IL 60505-4236
Ph: (630) 892-3844 | Dr Amanda Aller Goldman, PHD, LCPC
2755 Church Rd,
Aurora, IL 60502-9745
Ph: (630) 486-3800 |
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