Amanda Coffin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Longmont, Colorado. Her current practice location is
2345 Bent Way, Longmont, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 338-4545.
Amanda Coffin is licensed to practice in Colorado (license number CSW.09925754) 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 1801271226.
Healthcare Provider's Profile
Full Name | Amanda Coffin |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2345 Bent Way, Longmont, Colorado |
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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: 1801271226
- Provider Enumeration Date: 07/27/2015
- Last Update Date: 01/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143566547
- Enrollment ID: I20190107000131
Medical Identifiers
Medical identifiers for Amanda Coffin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801271226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LSW.0009920546 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09925754 (Colorado) | 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 Coffin allows following entities to bill medicare on her behalf.
Entity Name | Colorado Permanente Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
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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. Amanda Coffin 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 Coffin, LCSW 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Amanda Coffin, LCSW 2345 Bent Way, Longmont, CO 80503-7614 Ph: (303) 338-4545 |
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