Amina Porter, PHD is a medicare enrolled "Psychologist" provider in Atlanta, Georgia. Her current practice location is
30 Warren St Se, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 373-6614.
Amina Porter is licensed to practice in Georgia (license number PSY003528) 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 1659433696.
Healthcare Provider's Profile
Full Name | Amina Porter |
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Gender | Female |
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Speciality | Psychologist |
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Location | 30 Warren St Se, Atlanta, Georgia |
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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: 1659433696
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 1153673405
- Enrollment ID: I20181015001662
Medical Identifiers
Medical identifiers for Amina Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659433696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC004768 (Georgia) | Secondary |
103T00000X | Psychologist | PSY003528 (Georgia) | 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. Amina Porter allows following entities to bill medicare on her behalf.
Entity Name | Meridian Education Resource Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730305004 PECOS PAC ID: 1456583723 Enrollment ID: O20140502001158 |
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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. Amina Porter 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 |
Amina Porter, PHD 1077r Glendale Dr, East Point, GA 30344-2820 Ph: (404) 409-4500 | Amina Porter, PHD 30 Warren St Se, Atlanta, GA 30317-2267 Ph: (404) 373-6614 |
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