Amanda Ludlow, LPC is a medicare enrolled "Counselor - Professional" provider in Spring Lake, Michigan. Her current practice location is
17325 Van Wagoner Rd, Spring Lake, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 847-5145.
Amanda Ludlow is licensed to practice in Michigan (license number 6401222730) 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 1134761968.
Healthcare Provider's Profile
Full Name | Amanda Ludlow |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 17325 Van Wagoner Rd, Spring Lake, Michigan |
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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: 1134761968
- Provider Enumeration Date: 10/14/2019
- Last Update Date: 01/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416307400
- Enrollment ID: I20240103003007
Medical Identifiers
Medical identifiers for Amanda Ludlow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134761968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 6401222730 (Michigan) | 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 Ludlow allows following entities to bill medicare on her behalf.
Entity Name | Pine Rest Christian Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149 |
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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 Ludlow 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 Ludlow, LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Amanda Ludlow, LPC 17325 Van Wagoner Rd, Spring Lake, MI 49456-9702 Ph: (616) 847-5145 |
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