Ms Amanda Terryce Gidley, LISW in Waterloo, IA - Medicare Social Worker Provider

Ms Amanda Terryce Gidley, LISW is a medicare enrolled "Social Worker - Clinical" provider in Waterloo, Iowa. Her current practice location is 999 Home Plz Ste 301, Waterloo, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 299-2864.

Ms Amanda Terryce Gidley is licensed to practice in Iowa (license number 086882) 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 1760905905.

Contact Information

	Ms Amanda Terryce Gidley, LISW
	999 Home Plz Ste 301, Waterloo, IA 50701-4822
	(319) 299-2864
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Amanda Terryce Gidley
Gender	Female
Speciality	Social Worker - Clinical
Location	999 Home Plz Ste 301, Waterloo, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760905905
Provider Enumeration Date: 07/19/2017
Last Update Date: 01/09/2024

Medicare PECOS Information:

PECOS PAC ID: 7113378175
Enrollment ID: I20240104000776

Medical Identifiers

Medical identifiers for Ms Amanda Terryce Gidley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760905905	NPI	-	NPPES
0074435	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	086882 (Iowa)	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. Ms Amanda Terryce Gidley allows following entities to bill medicare on her behalf.

Entity Name	Cedar Valley Medical Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497794242 PECOS PAC ID: 1759291487 Enrollment ID: O20031208000462

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. Ms Amanda Terryce Gidley 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
Ms Amanda Terryce Gidley, LISW Po Box 2758, Waterloo, IA 50704-2758 Ph: (319) 235-5390	Ms Amanda Terryce Gidley, LISW 999 Home Plz Ste 301, Waterloo, IA 50701-4822 Ph: (319) 299-2864

Reviews and Comments

Social Worker in Waterloo, IA

Shannon Lentfer, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 999 Home Plz Ste 301, Waterloo, IA 50701 Phone: 319-299-2864
Hannah Leigh Kelley, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 563-271-7700
James Corye Johnson, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 116 South St, Waterloo, IA 50701 Phone: 319-830-1610
Angela Wilson-anderson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 Plaza Cir, Waterloo, IA 50701 Phone: 319-433-0395
Ms. Emily K Allaire, LISW, CADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 615 Grant Ave, Waterloo, IA 50702 Phone: 319-610-1116
Stephanie Grzybek, L.M.S.W Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-8200
Kelli Jean Smith, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 128 Plaza Cir, Waterloo, IA 50701 Phone: 319-774-3081 Fax: 319-435-4155

Ms Amanda Terryce Gidley, LISW - Medicare Clinical Social Worker in Waterloo, IA