Amanda Willis-martin, LADC in Bemidji, MN - Medicare Counselor Provider

Amanda Willis-martin, LADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Bemidji, Minnesota. Her current practice location is 1705 Anne St Nw, Bemidji, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 333-2006.

Amanda Willis-martin is licensed to practice in Minnesota (license number 306564) 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 1265147623.

Contact Information

	Amanda Willis-martin, LADC
	1705 Anne St Nw, Bemidji, MN 56601-6151
	(218) 333-2006
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Willis-martin
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	1705 Anne St Nw, Bemidji, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265147623
Provider Enumeration Date: 01/19/2023
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9739539974
Enrollment ID: I20231229001080

Medical Identifiers

Medical identifiers for Amanda Willis-martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265147623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	306564 (Minnesota)	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 Willis-martin allows following entities to bill medicare on her behalf.

Entity Name	Sanford Health Of Northern Minnesota
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442

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 Willis-martin 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 Willis-martin, LADC Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Amanda Willis-martin, LADC 1705 Anne St Nw, Bemidji, MN 56601-6151 Ph: (218) 333-2006

Reviews and Comments

Counselor in Bemidji, MN

Jessica L Scott, BS, LSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 4th St Nw Ste 300, Bemidji, MN 56601 Phone: 218-444-5155 Fax: 218-333-3921
Mr. John Alexander Eric Graham, PSYCHOLOGIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 4th St Nw Ste 110, Bemidji, MN 56601 Phone: 218-586-4057
Jane Ella Phelps, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 4th St Nw Ste 300, Bemidji, MN 56601 Phone: 218-444-5155 Fax: 218-333-3921
Christopher Lee Slough, Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 15th St Nw, Bemidji, MN 56601 Phone: 218-751-3280 Fax: 218-751-3298
Hannah Wilson, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1705 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-333-5880
Ms. Nicole Rae Dixon, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 15th Street Nw, Bemidji, MN 56601 Phone: 218-751-3280 Fax: 218-751-3298
Dr. Kathleen Mary Irwin, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 15th St., Bemidji, MN 56601 Phone: 218-751-3280 Fax: 218-751-3298

Amanda Willis-martin, LADC - Medicare Counselor in Bemidji, MN