Amanda Holley, is a medicare enrolled "Social Worker - Clinical" provider in Sherman, Illinois. Her current practice location is
3315 Sudduth Rd, Sherman, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 502-1777.
Amanda Holley is licensed to practice in Illinois (license number ) 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 1437878287.
Healthcare Provider's Profile
Full Name | Amanda Holley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3315 Sudduth Rd, Sherman, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437878287
- Provider Enumeration Date: 08/24/2022
- Last Update Date: 08/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163884065
- Enrollment ID: I20230809001573
Medical Identifiers
Medical identifiers for Amanda Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437878287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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 Holley 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 Holley, 3315 Sudduth Rd, Sherman, IL 62684-8470 Ph: () - | Amanda Holley, 3315 Sudduth Rd, Sherman, IL 62684-8470 Ph: (217) 502-1777 |
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