Amanda Theresa Lanceleve, PMHNP-BC is a medicare enrolled "Psychiatry & Neurology - Addiction Medicine" in Haverhill, Massachusetts. Her current practice location is
116 Summer St, Haverhill, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 630-2540.
Amanda Theresa Lanceleve is licensed to practice in Massachusetts (license number RN2261672) 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 1053037424.
Provider's Profile
Full Name | Amanda Theresa Lanceleve |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Addiction Medicine |
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Location | 116 Summer St, Haverhill, Massachusetts |
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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: 1053037424
- Provider Enumeration Date: 10/17/2022
- Last Update Date: 10/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123499720
- Enrollment ID: I20230118001900
Medical Identifiers
Medical identifiers for Amanda Theresa Lanceleve such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053037424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN2261672 (Massachusetts) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2261672 (Massachusetts) | Secondary |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | RN2261672 (Massachusetts) | 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. Amanda Theresa Lanceleve allows following entities to bill medicare on her behalf.
Entity Name | Hri Clinics, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598707002 PECOS PAC ID: 8022088483 Enrollment ID: O20040731000071 |
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Entity Name | Wp Acquisition Sub Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417420811 PECOS PAC ID: 7416291232 Enrollment ID: O20190325000247 |
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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. Amanda Theresa Lanceleve 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 |
Amanda Theresa Lanceleve, PMHNP-BC 116 Summer St, Haverhill, MA 01830-6032 Ph: (781) 630-2540 | Amanda Theresa Lanceleve, PMHNP-BC 116 Summer St, Haverhill, MA 01830-6032 Ph: (781) 630-2540 |
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