Dr Amanda Lea Grodewald-adler, PSYD - Medicare Psychologist in Centereach, NY

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Dr Amanda Lea Grodewald-adler, PSYD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Centereach, New York. Her current practice location is 1919 Middle Country Rd, Suite 308, Centereach, New York. You can reach out to her office (for appointments etc.) via phone at (631) 209-5343.

Dr Amanda Lea Grodewald-adler is licensed to practice in New York (license number P77977) 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 1144520768.

Contact Information

Dr Amanda Lea Grodewald-adler, PSYD
1919 Middle Country Rd, Suite 308,
Centereach, NY 11720-5601
(631) 209-5343
(631) 648-7655

Map and Direction




Healthcare Provider's Profile

Full NameDr Amanda Lea Grodewald-adler
GenderFemale
SpecialityPsychologist - Cognitive & Behavioral
Location1919 Middle Country Rd, Centereach, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144520768
  • Provider Enumeration Date: 10/29/2010
  • Last Update Date: 10/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9436310422
  • Enrollment ID: I20120419000040

Medical Identifiers

Medical identifiers for Dr Amanda Lea Grodewald-adler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144520768NPI-NPPES
A300066521OtherNYMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral P77977 (New York)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 Lea Grodewald-adler allows following entities to bill medicare on her behalf.
Entity NameAmanda Grodewald-adler Psyd Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154820553
PECOS PAC ID: 7517216252
Enrollment ID: O20180814002073

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 Lea Grodewald-adler 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 AddressPractice Location Address
Dr Amanda Lea Grodewald-adler, PSYD
1919 Middle Country Rd, Suite 308,
Centereach, NY 11720-5601

Ph: (631) 209-5343		Dr Amanda Lea Grodewald-adler, PSYD
1919 Middle Country Rd, Suite 308,
Centereach, NY 11720-5601

Ph: (631) 209-5343

Reviews and Comments


Psychologist in Centereach, NY

Dr. Anthony J Anzalone, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1919 Middle Country Rd, Centereach, NY 11720
Phone: 631-209-5343    Fax: 631-648-7655
Dr. Michael Leonard Nissenbaum, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Middle Country Rd, Suite 28w, Centereach, NY 11720
Phone: 631-737-9500    Fax: 631-737-9512
Dr. Sean Barry Haggerty, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1919 Middle Country Rd, Suite 201, Centereach, NY 11720
Phone: 631-689-6560    Fax: 631-689-6560

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.