Amy M Higginbotham, MS in Green Lake, WI - Medicare Counselor Provider

Amy M Higginbotham, MS is a medicare enrolled "Counselor - Mental Health" provider in Green Lake, Wisconsin. Her current practice location is 571 County Road A, Green Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 294-4070.

Amy M Higginbotham is licensed to practice in * (Not Available) (license number ) 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 1104125020.

Contact Information

	Amy M Higginbotham, MS
	571 County Road A, Green Lake, WI 54941-8630
	(920) 294-4070
	(920) 294-4139

Map and Direction

Healthcare Provider's Profile

Full Name	Amy M Higginbotham
Gender	Female
Speciality	Counselor - Mental Health
Location	571 County Road A, Green Lake, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104125020
Provider Enumeration Date: 03/17/2011
Last Update Date: 03/17/2011

Medicare PECOS Information:

PECOS PAC ID: 1456702471
Enrollment ID: I20240103004390

Medical Identifiers

Medical identifiers for Amy M Higginbotham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104125020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Amy M Higginbotham allows following entities to bill medicare on her behalf.

Entity Name	Bellin Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952554800 PECOS PAC ID: 4486551058 Enrollment ID: O20031212000884

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. Amy M Higginbotham 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
Amy M Higginbotham, MS Po Box 588, Green Lake, WI 54941-0588 Ph: (920) 294-4070	Amy M Higginbotham, MS 571 County Road A, Green Lake, WI 54941-8630 Ph: (920) 294-4070

Reviews and Comments

Counselor in Green Lake, WI

Abby Noel Vogt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139
Tammi Cassidy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139
Emily Roth Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Lake Steel Street, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139
Nichol Wienkes, Counselor Medicare: Medicare Enrolled Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139
Holley Dornfeld, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139
Ann Loretta Frintner, CSAC CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Lake Steel Street, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139

Amy M Higginbotham, MS - Medicare Counselor in Green Lake, WI