Amanda Lee Peterson, PCC, LICDC in Lebanon, OH

Amanda Lee Peterson, PCC, LICDC is a medicare enrolled "Counselor - Professional" provider in Lebanon, Ohio. Her current practice location is 975 Kingsview Dr, Lebanon, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 228-7800.

Amanda Lee Peterson is licensed to practice in Ohio (license number E.0800170) 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 1902170996.

Contact Information

	Amanda Lee Peterson, PCC, LICDC
	975 Kingsview Dr, Lebanon, OH 45036-9562
	(513) 228-7800
	(513) 228-7848

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Lee Peterson
Gender	Female
Speciality	Counselor - Professional
Location	975 Kingsview Dr, Lebanon, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902170996
Provider Enumeration Date: 03/08/2012
Last Update Date: 05/08/2013

Medicare PECOS Information:

PECOS PAC ID: 3779936307
Enrollment ID: I20240130002136

Medical Identifiers

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

Identifier	Type	State	Issuer
1902170996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.0800170 (Ohio)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	ICDC.100327 (Ohio)	Secondary

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 Lee Peterson allows following entities to bill medicare on her behalf.

Entity Name	Talbert House
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619900834 PECOS PAC ID: 1951314319 Enrollment ID: O20060801000414

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 Lee Peterson 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 Lee Peterson, PCC, LICDC 975 Kingsview Drive, Suite 400, Lebanon, OH 45036 Ph: (513) 228-7800	Amanda Lee Peterson, PCC, LICDC 975 Kingsview Dr, Lebanon, OH 45036-9562 Ph: (513) 228-7800

Reviews and Comments

Counselor in Lebanon, OH

Adrienne Crouch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 975 Kingsview Dr, Lebanon, OH 45036 Phone: 513-228-7846
Mark O Obenour, PCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 759 Columbus Ave, Lebanon, OH 45036 Phone: 513-932-4337 Fax: 513-751-0180
Sommer Mae Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4216 Hunting Hawk Dr, Lebanon, OH 45036 Phone: 937-403-8350
Jason R Judd, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Cook Rd, Lebanon, OH 45036 Phone: 513-695-1357 Fax: 513-695-2952
Mrs. Holly St.pierre, MS ED. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Oregonia Rd, Lebanon, OH 45036 Phone: 937-272-3812
Jennifer Wade, PCC-S, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 975 Kingsview Dr, Lebanon, OH 45036 Phone: 513-228-7800 Fax: 513-228-7848
Jamie L Ralston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5232 W State Route 63, Lebanon, OH 45036 Phone: 513-932-1952

Amanda Lee Peterson, PCC, LICDC - Medicare Counselor in Lebanon, OH