Amber L Davis, LPC in Philadelphia, PA - Medicare Counselor Provider

Amber L Davis, LPC is a medicare enrolled "Counselor - Mental Health" provider in Philadelphia, Pennsylvania. Her current practice location is 6228 Greene St Bsmt, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 602-1064.

Amber L Davis is licensed to practice in Delaware (license number PC-0011584) 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 1962279562.

Contact Information

	Amber L Davis, LPC
	6228 Greene St Bsmt, Philadelphia, PA 19144-2618
	(267) 602-1064
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amber L Davis
Gender	Female
Speciality	Counselor - Mental Health
Location	6228 Greene St Bsmt, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962279562
Provider Enumeration Date: 12/05/2023
Last Update Date: 03/01/2024

Medicare PECOS Information:

PECOS PAC ID: 8022550896
Enrollment ID: I20240607001836

Medical Identifiers

Medical identifiers for Amber L Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962279562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC016517 (Pennsylvania)	Secondary
101YM0800X	Counselor - Mental Health	PC-0011584 (Delaware)	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. Amber L Davis allows following entities to bill medicare on her behalf.

Entity Name	Survivors Of Abuse In Recovery Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154386696 PECOS PAC ID: 1850294067 Enrollment ID: O20040127000770

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. Amber L Davis 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
Amber L Davis, LPC 4038 Reno St, Philadelphia, PA 19104-4837 Ph: (484) 522-2315	Amber L Davis, LPC 6228 Greene St Bsmt, Philadelphia, PA 19144-2618 Ph: (267) 602-1064

Reviews and Comments

Counselor in Philadelphia, PA

Dr. Larisa Surenovna Dzhavakova, M.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 A Grant Ave, Philadelphia, PA 19115 Phone: 215-464-3838 Fax: 215-464-3899
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Mr. David Joel Silbermann, M.ED, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8001 Roosevelt Blvd, Suite 205-207, Philadelphia, PA 19152 Phone: 215-332-1914 Fax: 215-332-1873
Ms. Nicole Ivory Goicuria, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 N Broad St, Philadelphia, PA 19132 Phone: 215-599-2808 Fax: 215-599-1041
Lori L Reyes, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2927 N 5th St, Philadelphia, PA 19133 Phone: 484-221-9136 Fax: 484-221-9130
Gloria I Jimenez, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2152 N Front St, Philadelphia, PA 19122 Phone: 484-221-9136 Fax: 484-221-9130
Ms. Bernice B Tett, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1734 S Chadwick St, Philadelphia, PA 19145 Phone: 484-300-8699

Amber L Davis, LPC - Medicare Counselor in Philadelphia, PA