Amanda S Holbrook, LMHC in Utica, NY - Medicare Counselor Provider

Amanda S Holbrook, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Utica, New York. Her current practice location is 1612 Genesee St, Utica, New York. You can reach out to her office (for appointments etc.) via phone at (315) 724-5173.

Amanda S Holbrook is licensed to practice in New York (license number 004651-01) 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 1881971661.

Contact Information

	Amanda S Holbrook, LMHC
	1612 Genesee St, Utica, NY 13502-5425
	(315) 724-5173
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda S Holbrook
Gender	Female
Speciality	Counselor - Mental Health
Location	1612 Genesee St, Utica, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881971661
Provider Enumeration Date: 11/08/2011
Last Update Date: 03/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4789129032
Enrollment ID: I20240711001703

Medical Identifiers

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

Identifier	Type	State	Issuer
1881971661	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	004651-1 (New York)	Secondary
101YM0800X	Counselor - Mental Health	004651-01 (New York)	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 S Holbrook allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Counseling Center Of The Mohawk Valley, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649377854 PECOS PAC ID: 8921083882 Enrollment ID: O20040623001086

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 S Holbrook 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 S Holbrook, LMHC 1612 Genesee St, Utica, NY 13502-5425 Ph: (315) 724-5173	Amanda S Holbrook, LMHC 1612 Genesee St, Utica, NY 13502-5425 Ph: (315) 724-5173

Reviews and Comments

Counselor in Utica, NY

Adrianna Ryan, MHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Whitesboro St, Utica, NY 13502 Phone: 315-724-5168
Mr. Walter E Misiaszek, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1400 Noyes St, Utica, NY 13502 Phone: 315-738-4440
Alicia Marie Crouse, Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 Court St Ste 210, Utica, NY 13502 Phone: 315-507-5800 Fax: 315-507-5802
Marsha L Wilcox, CASAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Whitesboro St, Utica, NY 13502 Phone: 315-724-5168 Fax: 315-724-6582
Bruce Kraeger, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Whitesboro St, Utica, NY 13502 Phone: 315-724-5168
Brian Decker, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 Genesee St, Utica, NY 13502 Phone: 845-536-9113
Kayla Grippe, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1427 Genesee St, Utica, NY 13501 Phone: 315-798-8868 Fax: 315-733-7105

Amanda S Holbrook, LMHC - Medicare Counselor in Utica, NY