Sandy Amin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Port Reading, New Jersey. Her current practice location is
19 Dawn Dr, Port Reading, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 912-0691.
Sandy Amin is licensed to practice in New Jersey (license number 44SC06326000) 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 1417700030.
Healthcare Provider's Profile
Full Name | Sandy Amin |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 19 Dawn Dr, Port Reading, New Jersey |
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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: 1417700030
- Provider Enumeration Date: 04/11/2024
- Last Update Date: 04/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901340033
- Enrollment ID: I20240702000092
Medical Identifiers
Medical identifiers for Sandy Amin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417700030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 44SC06326000 (New Jersey) | 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. Sandy Amin allows following entities to bill medicare on her behalf.
Entity Name | Vicki Barnett Psy D Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447463971 PECOS PAC ID: 4183645575 Enrollment ID: O20060126000583 |
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Entity Name | Elevated Integrative Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730923756 PECOS PAC ID: 5092259127 Enrollment ID: O20240701001900 |
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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. Sandy Amin 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 |
Sandy Amin, LCSW 19 Dawn Dr, Port Reading, NJ 07064-1403 Ph: () - | Sandy Amin, LCSW 19 Dawn Dr, Port Reading, NJ 07064-1403 Ph: (201) 912-0691 |
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