Amanda Grace Connelly, in Winston Salem, NC - Medicare Counselor Provider

Amanda Grace Connelly, is a medicare enrolled "Counselor - Professional" provider in Winston Salem, North Carolina. Her current practice location is 4140 Cherry St, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 306-9620.

Amanda Grace Connelly is licensed to practice in North Carolina (license number 9785) 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 1013170885.

Contact Information

	Amanda Grace Connelly,
	4140 Cherry St, Winston Salem, NC 27105-2536
	(336) 306-9620
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Grace Connelly
Gender	Female
Speciality	Counselor - Professional
Location	4140 Cherry St, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013170885
Provider Enumeration Date: 07/02/2008
Last Update Date: 12/01/2017

Medicare PECOS Information:

PECOS PAC ID: 1153779202
Enrollment ID: I20231129003051

Medical Identifiers

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

Identifier	Type	State	Issuer
1013170885	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	9785 (North Carolina)	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 Grace Connelly allows following entities to bill medicare on her behalf.

Entity Name	Monarch
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103

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 Grace Connelly 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 Grace Connelly, 350 Pee Dee Ave Ste 101, Albemarle, NC 28001-4945 Ph: (704) 986-1500	Amanda Grace Connelly, 4140 Cherry St, Winston Salem, NC 27105-2536 Ph: (336) 306-9620

Reviews and Comments

Counselor in Winston Salem, NC

Timothy Carl Blake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Highland Ave, Winston Salem, NC 27101 Phone: 336-607-8523
Keren Happuch Williams, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 140 Kimel Park Dr Ste 200, Winston Salem, NC 27103 Phone: 336-718-7250 Fax: 336-718-7260
Amy Bowden, LCSWA Counselor Medicare: Accepting Medicare Assignments Practice Location: 665 W 4th St, Winston Salem, NC 27101 Phone: 336-725-8389 Fax: 336-725-6628
Chelsea Baldwin Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7670 N Point Ct, Winston Salem, NC 27106 Phone: 855-362-8470 Fax: 704-362-8464
Mrs. Amy Kolb Shuman, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Holly Ave, Winston Salem, NC 27101 Phone: 336-725-3999
Lesa Arnold Chesson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4265 Brownsboro Rd, Suite 214, Winston Salem, NC 27106 Phone: 336-896-0022

Amanda Grace Connelly, - Medicare Counselor in Winston Salem, NC