Amanda Raibourn, LCSW in Longview, TX - Medicare Social Worker Provider

Amanda Raibourn, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Longview, Texas. Her current practice location is 4351 Mccann Rd, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 295-1680.

Amanda Raibourn is licensed to practice in Texas (license number 37080) 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 1346471026.

Contact Information

	Amanda Raibourn, LCSW
	4351 Mccann Rd, Longview, TX 75605
	(903) 295-1680
	(902) 295-1690

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Raibourn
Gender	Female
Speciality	Social Worker - Clinical
Location	4351 Mccann Rd, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346471026
Provider Enumeration Date: 07/29/2009
Last Update Date: 10/03/2018

Medicare PECOS Information:

PECOS PAC ID: 6002962040
Enrollment ID: I20090916000721

Medical Identifiers

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

Identifier	Type	State	Issuer
1346471026	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	37080 (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 Raibourn allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

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 Raibourn 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 Raibourn, LCSW 4351 Mccann Rd, Longview, TX 75605-2907 Ph: (903) 295-1680	Amanda Raibourn, LCSW 4351 Mccann Rd, Longview, TX 75605 Ph: (903) 295-1680

Reviews and Comments

Social Worker in Longview, TX

Ms. Beverly H. Christopher, LCSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1002 S Martin Luther King Jr Blvd, Longview, TX 75602 Phone: 903-758-4851 Fax: 903-757-6347
Erika L Huelskamp, LCSW, CAC II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1205 E Marshall Ave, Longview, TX 75601 Phone: 903-247-8262 Fax: 903-247-8274
Kimberly L King, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1011 W Loop 281 Ste 5, Longview, TX 75604 Phone: 903-445-4672
Altreda Lanise Perkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Woodbine Pl, Longview, TX 75601 Phone: 903-758-2471
Nora D Eades, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1107 E Marshall Ave, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-2610
Renee Hawkins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1127 Judson Rd Ste 120, Longview, TX 75601 Phone: 972-638-9877
Debra Lynn Glenn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 Wain Dr, Longview, TX 75604 Phone: 903-321-8747 Fax: 903-236-8510

Amanda Raibourn, LCSW - Medicare Clinical Social Worker in Longview, TX