Amista Danielle Chambers, MS, LPC in Lawton, OK

Amista Danielle Chambers, MS, LPC is a medicare enrolled "Counselor - Professional" provider in Lawton, Oklahoma. Her current practice location is 2310 E Gore Blvd, #5, Lawton, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 699-2202.

Amista Danielle Chambers is licensed to practice in Oklahoma (license number 5182) 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 1356638092.

Contact Information

	Amista Danielle Chambers, MS, LPC
	2310 E Gore Blvd, #5, Lawton, OK 73501-6130
	(580) 699-2202
	(580) 699-2207

Map and Direction

Healthcare Provider's Profile

Full Name	Amista Danielle Chambers
Gender	Female
Speciality	Counselor - Professional
Location	2310 E Gore Blvd, Lawton, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356638092
Provider Enumeration Date: 07/01/2011
Last Update Date: 02/06/2015

Medicare PECOS Information:

PECOS PAC ID: 0749625564
Enrollment ID: I20240301002859

Medical Identifiers

Medical identifiers for Amista Danielle Chambers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356638092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	5182 (Oklahoma)	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. Amista Danielle Chambers allows following entities to bill medicare on her behalf.

Entity Name	Oklahoma Mental Health Council
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275574907 PECOS PAC ID: 3173514387 Enrollment ID: O20040518001034

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. Amista Danielle Chambers 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
Amista Danielle Chambers, MS, LPC 4010 Se Camelot Dr, Lawton, OK 73501-8438 Ph: (580) 699-2202	Amista Danielle Chambers, MS, LPC 2310 E Gore Blvd, #5, Lawton, OK 73501-6130 Ph: (580) 699-2202

Reviews and Comments

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Amista Danielle Chambers, MS, LPC - Medicare Counselor in Lawton, OK