Amanda Sue Frederick, MSW, LCSW is a medicare enrolled "Social Worker" provider in Cabool, Missouri. Her current practice location is
12581 Dallas Lane, Cabool, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 926-8054.
Amanda Sue Frederick is licensed to practice in Missouri (license number 2005027056) 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 1770632556.
Healthcare Provider's Profile
Full Name | Amanda Sue Frederick |
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Gender | Female |
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Speciality | Social Worker |
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Location | 12581 Dallas Lane, Cabool, Missouri |
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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: 1770632556
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1355526534
- Enrollment ID: I20150421000774
Medical Identifiers
Medical identifiers for Amanda Sue Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770632556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2005027056 (Missouri) | Primary |
104100000X | Social Worker | 2005027056 (Missouri) | 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 Sue Frederick 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 Sue Frederick, MSW, LCSW Po Box 714, Cabool, MO 65689-0714 Ph: (417) 926-8054 | Amanda Sue Frederick, MSW, LCSW 12581 Dallas Lane, Cabool, MO 65689 Ph: (417) 926-8054 |
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