Amanda Clementz, PT is a medicare enrolled "Physical Therapist" provider in Port Wentworth, Georgia. Her current practice location is
7938 Ga Highway 21 Ste 300, Port Wentworth, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 965-0601.
Amanda Clementz is licensed to practice in Georgia (license number PT016003) 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 1841475027.
Healthcare Provider's Profile
Full Name | Amanda Clementz |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 7938 Ga Highway 21 Ste 300, Port Wentworth, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841475027
- Provider Enumeration Date: 01/07/2008
- Last Update Date: 09/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446404222
- Enrollment ID: I20221028000120
Medical Identifiers
Medical identifiers for Amanda Clementz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841475027 | NPI | - | NPPES |
P01141585 | Other | IL | RR MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT016003 (Georgia) | Primary |
225100000X | Physical Therapist | 070013744 (Illinois) | Secondary |
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 Clementz allows following entities to bill medicare on her behalf.
Provider Name | Independent Physical Therapy Of Georgia Llc |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
---|
Provider Name | Benchmark Physical Therapy, Inc |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
---|
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 Clementz 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 Clementz, PT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915 Ph: (423) 238-8923 | Amanda Clementz, PT 7938 Ga Highway 21 Ste 300, Port Wentworth, GA 31407-9808 Ph: (912) 965-0601 |
Reviews and Comments