Amanda Grace Kephart, in Reston, VA - Medicare Counselor Provider

Amanda Grace Kephart, is a medicare enrolled "Counselor - Professional" provider in Reston, Virginia. Her current practice location is 11260 Roger Bacon Dr Ste 103, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at (855) 284-7483.

Amanda Grace Kephart is licensed to practice in Virginia (license number 0701012428) 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 1730892779.

Contact Information

	Amanda Grace Kephart,
	11260 Roger Bacon Dr Ste 103, Reston, VA 20190-5203
	(855) 284-7483
	(617) 807-0958

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Grace Kephart
Gender	Female
Speciality	Counselor - Professional
Location	11260 Roger Bacon Dr Ste 103, Reston, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730892779
Provider Enumeration Date: 01/04/2023
Last Update Date: 04/21/2023

Medicare PECOS Information:

PECOS PAC ID: 1254780745
Enrollment ID: I20231208002445

Medical Identifiers

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

Identifier	Type	State	Issuer
1730892779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0704013790 (Virginia)	Secondary
101YP2500X	Counselor - Professional	0701012428 (Virginia)	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 Kephart allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20180531001919

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 Kephart 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 Kephart, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483	Amanda Grace Kephart, 11260 Roger Bacon Dr Ste 103, Reston, VA 20190-5203 Ph: (855) 284-7483

Reviews and Comments

Counselor in Reston, VA

William C Kapfer, Counselor Medicare: Medicare Enrolled Practice Location: 11260 Roger Bacon Dr Ste 103, Reston, VA 20190 Phone: 855-284-7483 Fax: 617-807-0958
Ms. Nancy Whiteley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11250 Roger Bacon Dr, Suite 7, Reston, VA 20191 Phone: 703-689-3537
Mrs. Patricia Susan Small, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11250 Roger Bacon Dr, Suite 6, Reston, VA 20190 Phone: 703-403-9773
Amanda Zuidema, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12007 Sunrise Valley Dr Ste 120, Reston, VA 20191 Phone: 508-663-3852
Mary Bolton-owens, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12359 Sunrise Valley Dr, Suite 220, Reston, VA 20191 Phone: 301-620-9762
Dr. Ruth A Freud, LCSW, PSY.D. Counselor Medicare: Accepting Medicare Assignments Practice Location: 11260 Roger Bacon Dr Ste 204, Reston, VA 20190 Phone: 703-435-7558 Fax: 571-446-3988
Mrs. Jasmine Dearborn, LRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12007 Sunrise Valley Dr, Reston, VA 20191 Phone: 804-207-6737

Amanda Grace Kephart, - Medicare Counselor in Reston, VA