Amanda Lavaughn Kluttz, LCSW, LCAS, CSI is a medicare enrolled "Social Worker" provider in Winston Salem, North Carolina. Her current practice location is
725 Highland Ave, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 607-8523.
Amanda Lavaughn Kluttz is licensed to practice in North Carolina (license number C006973) 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 1225175235.
Healthcare Provider's Profile
| Full Name | Amanda Lavaughn Kluttz |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 725 Highland Ave, 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: 1225175235
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 07/31/2013
Medicare PECOS Information:
- PECOS PAC ID: 7012104961
- Enrollment ID: I20101206000187
Medical Identifiers
Medical identifiers for Amanda Lavaughn Kluttz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225175235 | NPI | - | NPPES |
| C006973 | Other | NC | LCSW |
| P003739 | Other | NC | P-LCSW |
| 1487 | Other | NC | LCAS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1487 (North Carolina) | Secondary |
| 104100000X | Social Worker | C006973 (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 Lavaughn Kluttz allows following entities to bill medicare on her behalf.
| Entity Name | Thriveworks Clinical - North Carolina Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1003303082
PECOS PAC ID: 8527471200
Enrollment ID: O20210120000669 |
|---|
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 Lavaughn Kluttz 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 Lavaughn Kluttz, LCSW, LCAS, CSI
284 Executive Park Dr, Suite 100,
Concord, NC 28025-1831
Ph: (704) 939-1100 | Amanda Lavaughn Kluttz, LCSW, LCAS, CSI
725 Highland Ave,
Winston Salem, NC 27101-4206
Ph: (336) 607-8523 |
Reviews and Comments