Dr Amanda Jean Slater, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Palos Heights, Illinois. Her current practice location is
11800 S 75th Ave Ste 300, Palos Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 671-8440.
Dr Amanda Jean Slater is licensed to practice in Illinois (license number 071010729) 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 1366090201.
Healthcare Provider's Profile
| Full Name | Dr Amanda Jean Slater |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 11800 S 75th Ave Ste 300, Palos Heights, Illinois |
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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: 1366090201
- Provider Enumeration Date: 09/03/2019
- Last Update Date: 10/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062872849
- Enrollment ID: I20230712003622
Medical Identifiers
Medical identifiers for Dr Amanda Jean Slater such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366090201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 071010729 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071010729 (Illinois) | 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. Dr Amanda Jean Slater allows following entities to bill medicare on her behalf.
| Entity Name | Midwest Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952409765
PECOS PAC ID: 5698771848
Enrollment ID: O20070301000010 |
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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. Dr Amanda Jean Slater 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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Dr Amanda Jean Slater, PSYD
11800 S 75th Ave Ste 300,
Palos Heights, IL 60463-1064
Ph: (708) 671-8440 | Dr Amanda Jean Slater, PSYD
11800 S 75th Ave Ste 300,
Palos Heights, IL 60463-1064
Ph: (708) 671-8440 |
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