Amanda Margaret Rewoldt, MS is a medicare enrolled "Psychologist" provider in Madison, Wisconsin. Her current practice location is
2202 S Park St, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 443-5480.
Amanda Margaret Rewoldt is licensed to practice in Wisconsin (license number 4106) 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 1255990446.
Healthcare Provider's Profile
| Full Name | Amanda Margaret Rewoldt |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 2202 S Park St, Madison, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255990446
- Provider Enumeration Date: 06/11/2019
- Last Update Date: 11/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224405253
- Enrollment ID: I20221104000694
Medical Identifiers
Medical identifiers for Amanda Margaret Rewoldt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255990446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 4195-226 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 4106 (Wisconsin) | 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 Margaret Rewoldt allows following entities to bill medicare on her behalf.
| Entity Name | Access Community Health Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417055617
PECOS PAC ID: 0345153672
Enrollment ID: O20041204000065 |
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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 Margaret Rewoldt 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 |
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Amanda Margaret Rewoldt, MS
7974 Uw Health Ct,
Middleton, WI 53562-5531
Ph: () - | Amanda Margaret Rewoldt, MS
2202 S Park St,
Madison, WI 53713-1916
Ph: (608) 443-5480 |
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