Mrs Amanda Renee Southern, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Otisville, Michigan. Her current practice location is
275 S State Rd, Otisville, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 922-7700.
Mrs Amanda Renee Southern is licensed to practice in Michigan (license number 6801094249) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982945549.
Healthcare Provider's Profile
Full Name | Mrs Amanda Renee Southern |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 275 S State Rd, Otisville, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Amanda Renee Southern attended and graduated from in
NPI Data:
- NPI Number: 1982945549
- Provider Enumeration Date: 03/07/2013
- Last Update Date: 05/17/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Amanda Renee Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982945549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801094249 (Michigan) | 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. Mrs Amanda Renee Southern 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 |
Mrs Amanda Renee Southern, LMSW 275 S State Rd, Otisville, MI 48463-8436 Ph: (810) 922-7700 | Mrs Amanda Renee Southern, LMSW 275 S State Rd, Otisville, MI 48463-8436 Ph: (810) 922-7700 |
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