Amanda D Terry, LCSW in Salem, OR - Medicare Social Worker Provider

Amanda D Terry, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Salem, Oregon. Her current practice location is 2355 State St Ste 101, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 239-1633.

Amanda D Terry is licensed to practice in Oregon (license number L12965) 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 1285300749.

Contact Information

	Amanda D Terry, LCSW
	2355 State St Ste 101, Salem, OR 97301-4541
	(971) 239-1633
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda D Terry
Gender	Female
Speciality	Social Worker - Clinical
Location	2355 State St Ste 101, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285300749
Provider Enumeration Date: 08/16/2021
Last Update Date: 06/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7810371333
Enrollment ID: I20220901002451

Medical Identifiers

Medical identifiers for Amanda D Terry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285300749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW19752 (Arizona)	Secondary
1041C0700X	Social Worker - Clinical	L12965 (Oregon)	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 D Terry allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586

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 D Terry 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 D Terry, LCSW 2355 State St Ste 101, Salem, OR 97301-4541 Ph: (716) 418-9821	Amanda D Terry, LCSW 2355 State St Ste 101, Salem, OR 97301-4541 Ph: (971) 239-1633

Reviews and Comments

Social Worker in Salem, OR

Mr. Jes Dimas, LCSW, LICSW, LSSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 494 State St Ste 270, Salem, OR 97301 Phone: 503-583-2121 Fax: 855-855-4872
John B Milnes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty St Se, Salem, OR 97302 Phone: 503-585-5328 Fax: 503-588-5327
Mr. Mark Alan Mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435
Rachel Seibert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Northwest Registered Agent Llc #513290-93, 2355 State St, Ste 101, Salem, OR 97301 Phone: 503-388-4196
Keith Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Kingwood Ave Nw, Salem, OR 97304 Phone: 503-588-5816 Fax: 503-588-5803
Kathie L Yelliott, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-588-5955
Ms. Kathleen Marie Baptiste-mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435 Fax: 503-364-7272

Amanda D Terry, LCSW - Medicare Clinical Social Worker in Salem, OR