Amani Khalil, PHD, HSPP in Fort Wayne, IN - Medicare Psychologist Provider

Amani Khalil, PHD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. Her current practice location is 2100 Goshen Rd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 471-3500.

Amani Khalil is licensed to practice in Indiana (license number 20043876A) 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 1144045568.

Contact Information

	Amani Khalil, PHD, HSPP
	2100 Goshen Rd, Fort Wayne, IN 46808-1493
	(260) 471-3500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amani Khalil
Gender	Female
Speciality	Psychologist - Clinical
Location	2100 Goshen Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144045568
Provider Enumeration Date: 11/20/2024
Last Update Date: 11/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9234665977
Enrollment ID: I20241205000921

Medical Identifiers

Medical identifiers for Amani Khalil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144045568	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20043876A (Indiana)	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. Amani Khalil allows following entities to bill medicare on her behalf.

Entity Name	The Otis R Bowen Center For Human Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853

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. Amani Khalil 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
Amani Khalil, PHD, HSPP 2621 E Jefferson St, Warsaw, IN 46580-3880 Ph: () -	Amani Khalil, PHD, HSPP 2100 Goshen Rd, Fort Wayne, IN 46808-1493 Ph: (260) 471-3500

Reviews and Comments

Psychologist in Fort Wayne, IN

Ms. Shauna Marie Croarkin, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Barr St, Fort Wayne, IN 46802 Phone: 260-467-1124 Fax: 260-467-1188
Amanda L Mayle, PSY.D., HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845 Phone: 260-266-5400 Fax: 260-266-5409
Dr. Michelle Renne Miller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, IN 46804 Phone: 260-434-1606 Fax: 260-434-1612
Dr. Victor L Rebman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825 Phone: 260-471-9902 Fax: 260-471-9902
Michele Lynn Grimm, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 S Clinton St, Fort Wayne, IN 46802 Phone: 260-467-1150 Fax: 260-467-1188
Jason T. Cook, PSY.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804 Phone: 260-483-2400 Fax: 260-960-9361
Dr. Galen Arthur Yordy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2805 Fairfield Ave, Fort Wayne, IN 46807 Phone: 260-456-4880 Fax: 260-456-3559

Amani Khalil, PHD, HSPP - Medicare Psychologist in Fort Wayne, IN