Amy Niccole Madden-ray, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Greenbrier, Tennessee. Her current practice location is
2080 Woodruff Ave, Greenbrier, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 612-9649.
Amy Niccole Madden-ray is licensed to practice in Tennessee (license number LSW0000004401) 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 1326176355.
Healthcare Provider's Profile
| Full Name | Amy Niccole Madden-ray |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 2080 Woodruff Ave, Greenbrier, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326176355
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 07/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 9436244357
- Enrollment ID: I20071005000703
Medical Identifiers
Medical identifiers for Amy Niccole Madden-ray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326176355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LSW0000004401 (Tennessee) | 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 Niccole Madden-ray allows following entities to bill medicare on her behalf.
| Entity Name | Guided Path Counseling, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205409224
PECOS PAC ID: 7416312186
Enrollment ID: O20230502002110 |
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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. Amy Niccole Madden-ray 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 |
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Amy Niccole Madden-ray, LCSW
2080 Woodruff Ave,
Greenbrier, TN 37073-4671
Ph: (615) 859-2834 | Amy Niccole Madden-ray, LCSW
2080 Woodruff Ave,
Greenbrier, TN 37073-4671
Ph: (615) 612-9649 |
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