Amanda Stout, LCPC in Mattoon, IL - Medicare Counselor Provider

Amanda Stout, LCPC is a medicare enrolled "Counselor - Professional" provider in Mattoon, Illinois. Her current practice location is 750 Broadway Ave E, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 238-5700.

Amanda Stout 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 1477097210.

Contact Information

	Amanda Stout, LCPC
	750 Broadway Ave E, Mattoon, IL 61938-4610
	(217) 238-5700
	(217) 238-5767

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Stout
Gender	Female
Speciality	Counselor - Professional
Location	750 Broadway Ave E, Mattoon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477097210
Provider Enumeration Date: 12/13/2016
Last Update Date: 07/31/2020

Medicare PECOS Information:

PECOS PAC ID: 8527417302
Enrollment ID: I20240520001130

Medical Identifiers

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

Identifier	Type	State	Issuer
1477097210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (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 Stout allows following entities to bill medicare on her behalf.

Entity Name	Coles County Mental Health Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942203914 PECOS PAC ID: 9537194329 Enrollment ID: O20070516000072

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 Stout 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 Stout, LCPC 750 Broadway Ave E, Mattoon, IL 61938-4610 Ph: (217) 238-5700	Amanda Stout, LCPC 750 Broadway Ave E, Mattoon, IL 61938-4610 Ph: (217) 238-5700

Reviews and Comments

Counselor in Mattoon, IL

Kiaya Loy, MS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700
Nerissa Jones, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5735
Jessica Milburn, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767
Taylor Downey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700
Bonnie K. Mcdade, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Drive, Suite 102, Mattoon, IL 61938 Phone: 217-258-4042 Fax: 217-258-4053
Allen M. Creamean, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767
Madeleine Stone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700

Amanda Stout, LCPC - Medicare Counselor in Mattoon, IL