Mrs Amanda Renee Southern, LMSW - Medicare Clinical Social Worker in Otisville, MI

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Mrs Amanda Renee Southern, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Otisville, Michigan. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Tranquil Life Counseling Llc and 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.

Contact Information

Mrs Amanda Renee Southern, LMSW
275 S State Rd,
Otisville, MI 48463-8436
(810) 922-7700
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Amanda Renee Southern
GenderFemale
SpecialityClinical Social Worker
Experience12 Years
Location275 S State Rd, Otisville, Michigan
Accepts Medicare AssignmentsYes. 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 graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1982945549
  • Provider Enumeration Date: 03/07/2013
  • Last Update Date: 05/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6709194913
  • Enrollment ID: I20151007001252

Medical Identifiers

Medical identifiers for Mrs Amanda Renee Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982945549NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6801094249 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tranquil Life Counseling Llc76183552562

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. Mrs Amanda Renee Southern allows following entities to bill medicare on her behalf.
Entity NameTraining & Treatment Innovations Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609857978
PECOS PAC ID: 1557323144
Enrollment ID: O20041111000393
Entity NameTender Heart Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891037974
PECOS PAC ID: 8729220249
Enrollment ID: O20130813000844
Entity NameTender Heart East Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902469588
PECOS PAC ID: 0749523850
Enrollment ID: O20190513001219
Entity NameTranquil Life Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851958151
PECOS PAC ID: 7618355256
Enrollment ID: O20220609001950

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 AddressPractice 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

Reviews and Comments


Social Worker in Otisville, MI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.