Dr Amanda Marie Large, PSYD in Philadelphia, PA - Medicare Clinical Psychologist Provider

Dr Amanda Marie Large, PSYD is a medicare enrolled "Psychologist" provider in Philadelphia, Pennsylvania. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Equilibria Mental Health Services and her current practice location is 1516 N 5th St Unit 401, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 861-3685.

Dr Amanda Marie Large is licensed to practice in Pennsylvania (license number PS019057) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730798067.

Contact Information

	Dr Amanda Marie Large, PSYD
	1516 N 5th St Unit 401, Philadelphia, PA 19122-3679
	(267) 861-3685
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Amanda Marie Large
Gender	Female
Speciality	Clinical Psychologist
Experience	6 Years
Location	1516 N 5th St Unit 401, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Amanda Marie Large attended and graduated from Philadelphia College Of Osteopathic Medicine in 2018

NPI Data:

NPI Number: 1730798067
Provider Enumeration Date: 07/22/2020
Last Update Date: 09/09/2020

Medicare PECOS Information:

PECOS PAC ID: 0547669202
Enrollment ID: I20210528001650

Medical Identifiers

Medical identifiers for Dr Amanda Marie Large such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730798067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS019057 (Pennsylvania)	Primary
103TA0400X	Psychologist - Addiction (substance Use Disorder)	PS019057 (Pennsylvania)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Equilibria Mental Health Services	5698166783	9

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 Marie Large allows following entities to bill medicare on her behalf.

Entity Name	Equilibria Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225792872 PECOS PAC ID: 5698166783 Enrollment ID: O20211228001562

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 Marie Large 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
Dr Amanda Marie Large, PSYD 1516 N 5th St Unit 401, Philadelphia, PA 19122-3679 Ph: (267) 861-3685	Dr Amanda Marie Large, PSYD 1516 N 5th St Unit 401, Philadelphia, PA 19122-3679 Ph: (267) 861-3685

Reviews and Comments

Psychologist in Philadelphia, PA

Nancy Allanoff Braveman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th Street & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Thomas A Bartlett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1735 Lombard St, Philadelphia, PA 19146 Phone: 215-732-3103 Fax: 215-732-8584
Dr. Michael S. Broder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1420 Locust St, 7g, Philadelphia, PA 19102 Phone: 215-545-7000 Fax: 215-545-7011
Dr. Melisa English Moore, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Dr. Lisa Marie Boschi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Rochelle Ave, Philadelphia, PA 19128 Phone: 215-508-3300 Fax: 215-508-3210
Jessica Harpel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 717-332-5114
Dr. Maria Drvoshanov, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 607, Philadelphia, PA 19102 Phone: 571-606-9076

Dr Amanda Marie Large, PSYD - Medicare Psychologist in Philadelphia, PA