Amanda Cowart Derham, LCSW in Springfield, MO

Amanda Cowart Derham, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Springfield, Missouri. Her current practice location is 1300 E Bradford Pkwy, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 761-5000.

Amanda Cowart Derham is licensed to practice in Missouri (license number 2006025361) 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 1477049930.

Contact Information

	Amanda Cowart Derham, LCSW
	1300 E Bradford Pkwy, Springfield, MO 65804
	(417) 761-5000
	(417) 761-5065

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Cowart Derham
Gender	Female
Speciality	Counselor - Mental Health
Location	1300 E Bradford Pkwy, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477049930
Provider Enumeration Date: 07/09/2018
Last Update Date: 01/15/2019

Medicare PECOS Information:

PECOS PAC ID: 4183974777
Enrollment ID: I20180830003761

Medical Identifiers

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

Identifier	Type	State	Issuer
1477049930	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2006025361 (Missouri)	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 Cowart Derham allows following entities to bill medicare on her behalf.

Entity Name	Advocates For A Healthy Community Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558303057 PECOS PAC ID: 5395653562 Enrollment ID: O20041109000631

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 Cowart Derham 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 Cowart Derham, LCSW 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 761-5000	Amanda Cowart Derham, LCSW 1300 E Bradford Pkwy, Springfield, MO 65804 Ph: (417) 761-5000

Reviews and Comments

Counselor in Springfield, MO

Mrs. Rebecca J Barratt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2131 S Eastgate Ave, Springfield, MO 65809 Phone: 417-763-3309 Fax: 417-763-3331
Mrs. Lori Renee Radford, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1041 E Walnut St, Springfield, MO 65806 Phone: 417-459-2117
Stephanie J Robbins, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1350 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5850
Brian Vega, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1531 E Sunshine St, Ste W-29, Springfield, MO 65804 Phone: 417-887-9950 Fax: 417-888-0226
Linda L. Britt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 W Republic Rd Ste G100, Springfield, MO 65807 Phone: 417-862-8282 Fax: 417-862-8805
Ms. Jessica Ann Heavin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 E Sunshine St Ste 338, Springfield, MO 65804 Phone: 417-823-8000 Fax: 417-823-9334
Angie Fitzpatrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1613 W Elfindale St, Springfield, MO 65807 Phone: 417-864-7921

Amanda Cowart Derham, LCSW - Medicare Counselor in Springfield, MO