Amanda Tadlock, EDS, MA in Gaston, SC - Medicare Counselor Provider

Amanda Tadlock, EDS, MA is a medicare enrolled "Counselor - Mental Health" provider in Gaston, South Carolina. Her current practice location is 3965 Fish Hatchery Rd, Gaston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 755-2261.

Amanda Tadlock is licensed to practice in Virginia (license number 0701005494) 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 1659701829.

Contact Information

	Amanda Tadlock, EDS, MA
	3965 Fish Hatchery Rd, Gaston, SC 29053-9038
	(803) 755-2261
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Tadlock
Gender	Female
Speciality	Counselor - Mental Health
Location	3965 Fish Hatchery Rd, Gaston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659701829
Provider Enumeration Date: 11/25/2013
Last Update Date: 11/25/2013

Medicare PECOS Information:

PECOS PAC ID: 6305378902
Enrollment ID: I20241021004145

Medical Identifiers

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

Identifier	Type	State	Issuer
1659701829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0701005494 (Virginia)	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 Tadlock allows following entities to bill medicare on her behalf.

Entity Name	South Carolina Dept Of Mental Health Accounting Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041

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 Tadlock 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 Tadlock, EDS, MA 301 Palmetto Park Blvd, Lexington, SC 29072-7872 Ph: (803) 996-1500	Amanda Tadlock, EDS, MA 3965 Fish Hatchery Rd, Gaston, SC 29053-9038 Ph: (803) 755-2261

Reviews and Comments

Counselor in Gaston, SC

Katasha Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Woodcote Dr, Gaston, SC 29053 Phone: 803-546-4834
Ms. Audrey Leigh I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Carrie Ln, Gaston, SC 29053 Phone: 803-542-6784
Rosa M. Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3961 Fish Hatchery Rd, Gaston, SC 29053 Phone: 803-996-1500
Mandy N. Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3961 Fish Hatchery Rd, Gaston, SC 29053 Phone: 803-996-1500
Ms. Julianna Brynne Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1344 Mack St, Gaston, SC 29053 Phone: 803-386-1626
Miss Teresa Satterfield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Gator Rd, Gaston, SC 29053 Phone: 803-760-6503

Amanda Tadlock, EDS, MA - Medicare Counselor in Gaston, SC