Khrysthale Hayatt Amaya, LCSW in Charlotte, NC - Medicare Social Worker Provider

Khrysthale Hayatt Amaya, LCSW is a medicare enrolled "Social Worker" provider in Charlotte, North Carolina. Her current practice location is 501 Billingsley Rd, Ste B, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 444-2400.

Khrysthale Hayatt Amaya is licensed to practice in North Carolina (license number C013289) 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 1437642618.

Contact Information

	Khrysthale Hayatt Amaya, LCSW
	501 Billingsley Rd, Ste B, Charlotte, NC 28211-1009
	(704) 444-2400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Khrysthale Hayatt Amaya
Gender	Female
Speciality	Social Worker
Location	501 Billingsley Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437642618
Provider Enumeration Date: 06/12/2018
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 2769802206
Enrollment ID: I20201021002628

Medical Identifiers

Medical identifiers for Khrysthale Hayatt Amaya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437642618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C013289 (North Carolina)	Secondary
104100000X	Social Worker	C013289 (North Carolina)	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. Khrysthale Hayatt Amaya allows following entities to bill medicare on her behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

Entity Name	Center For Family & Maternal Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952760688 PECOS PAC ID: 6507152832 Enrollment ID: O20160912002625

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. Khrysthale Hayatt Amaya 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
Khrysthale Hayatt Amaya, LCSW Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Khrysthale Hayatt Amaya, LCSW 501 Billingsley Rd, Ste B, Charlotte, NC 28211-1009 Ph: (704) 444-2400

Reviews and Comments

Social Worker in Charlotte, NC

Ms. Latonya Latrice Pompey, MSW, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5633 Monroe Rd, Suite D, Charlotte, NC 28212 Phone: 843-356-0719
Miss Meredith Canty Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2512 Wingdale Dr, Charlotte, NC 28213 Phone: 843-230-6359
Anastashia Natasha Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 210, Charlotte, NC 28211 Phone: 704-381-8336
Denise Doster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Johnston Rd, Suite 227, Charlotte, NC 28226 Phone: 980-299-1277
Sara Charles Goguen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2125 Southend Dr, Suite 452, Charlotte, NC 28203 Phone: 704-378-1390 Fax: 704-378-1392
Mr. Andre Maurice Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9711 David Taylor Dr Apt 104, Charlotte, NC 28262 Phone: 980-202-2526
Melissa Elder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Springbank Ln, Suite G, Charlotte, NC 28226 Phone: 980-288-8595

Khrysthale Hayatt Amaya, LCSW - Medicare Clinical Social Worker in Charlotte, NC