Amanda Bourne, BS in Poteau, OK - Medicare Counselor Provider

Amanda Bourne, BS is a medicare enrolled "Counselor - Mental Health" provider in Poteau, Oklahoma. Her current practice location is 900 N Broadway St, Ste 1, Poteau, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 649-0772.

Amanda Bourne is licensed to practice in * (Not Available) (license number ) 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 1881026060.

Contact Information

	Amanda Bourne, BS
	900 N Broadway St, Ste 1, Poteau, OK 74953-2617
	(918) 649-0772
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Bourne
Gender	Female
Speciality	Counselor - Mental Health
Location	900 N Broadway St, Poteau, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881026060
Provider Enumeration Date: 07/30/2013
Last Update Date: 07/30/2013

Medicare PECOS Information:

PECOS PAC ID: 0345689980
Enrollment ID: I20240416002773

Medical Identifiers

Medical identifiers for Amanda Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881026060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Amanda Bourne allows following entities to bill medicare on her behalf.

Entity Name	Quest Mhsa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174776819 PECOS PAC ID: 4688943657 Enrollment ID: O20170927004331

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. Amanda Bourne 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
Amanda Bourne, BS 15681 Avis Cir, Spiro, OK 74959-4005 Ph: (479) 981-0007	Amanda Bourne, BS 900 N Broadway St, Ste 1, Poteau, OK 74953-2617 Ph: (918) 649-0772

Reviews and Comments

Counselor in Poteau, OK

Paul Lee Plummer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Mozell St, Poteau, OK 74953 Phone: 918-839-7576
Kinsey Akers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 Dewey Ave, Poteau, OK 74953 Phone: 918-649-0172
Shannon Warren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 N Broadway St Unit A, Poteau, OK 74953 Phone: 918-647-0485 Fax: 918-647-0571
Charles Fields, Counselor Medicare: Medicare Enrolled Practice Location: 1212 Reynolds Ave, Poteau, OK 74953 Phone: 918-649-0172
Jerry Lynn Stankewitz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 N Broadway St Unit A, Poteau, OK 74953 Phone: 918-647-0485 Fax: 918-647-0571
Michele Lena Griffin, M.ED. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34183 Country Club Ln, Poteau, OK 74953 Phone: 918-649-7641 Fax: 918-647-2926
Roxanne Elizabeth Watson, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 804 S Broadway St, Poteau, OK 74953 Phone: 918-647-9629

Amanda Bourne, BS - Medicare Counselor in Poteau, OK