Amanda Slaten, LCSW, LCAC is a medicare enrolled "Social Worker - Clinical" provider in Avon, Indiana. Her current practice location is
6655 E Us Highway 36, Avon, Indiana. You can reach out to her office (for appointments etc.) via phone at
(888) 714-1927.
Amanda Slaten is licensed to practice in Indiana (license number 34005854A) 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 1245788363.
Healthcare Provider's Profile
Full Name | Amanda Slaten |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6655 E Us Highway 36, Avon, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245788363
- Provider Enumeration Date: 09/18/2016
- Last Update Date: 12/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 3971915851
- Enrollment ID: I20201217001739
Medical Identifiers
Medical identifiers for Amanda Slaten such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245788363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001342A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34005854A (Indiana) | 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 Slaten allows following entities to bill medicare on her behalf.
Entity Name | Aspire Indiana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124016050 PECOS PAC ID: 4486635455 Enrollment ID: O20041015000190 |
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Entity Name | Aspire Indiana Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780068288 PECOS PAC ID: 8921314196 Enrollment ID: O20150902001749 |
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Entity Name | Holon Health Great Lakes Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194414805 PECOS PAC ID: 1759742919 Enrollment ID: O20230803002746 |
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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 Slaten 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 Slaten, LCSW, LCAC 6203 Vigo Dr, Clayton, IN 46118-9363 Ph: (317) 956-0099 | Amanda Slaten, LCSW, LCAC 6655 E Us Highway 36, Avon, IN 46123-8923 Ph: (888) 714-1927 |
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