Dr Teona Callaham Amble, PHD in Tacoma, WA - Medicare Psychologist Provider

Dr Teona Callaham Amble, PHD is a medicare enrolled "Psychologist - Clinical" provider in Tacoma, Washington. Her current practice location is 2202 South Cedar St #300/#200, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 301-5280.

Dr Teona Callaham Amble is licensed to practice in Washington (license number PY61040124) 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 1639593288.

Contact Information

	Dr Teona Callaham Amble, PHD
	2202 South Cedar St #300/#200, Tacoma, WA 98405
	(253) 301-5280
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Teona Callaham Amble
Gender	Female
Speciality	Psychologist - Clinical
Location	2202 South Cedar St #300/#200, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639593288
Provider Enumeration Date: 02/18/2014
Last Update Date: 04/16/2021

Medicare PECOS Information:

PECOS PAC ID: 6507099538
Enrollment ID: I20140429000364

Medical Identifiers

Medical identifiers for Dr Teona Callaham Amble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639593288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY61040124 (Washington)	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 Teona Callaham Amble allows following entities to bill medicare on her behalf.

Entity Name	Supportive Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484

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 Teona Callaham Amble 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 Teona Callaham Amble, PHD P.o. Box 5299, 737-3-pcon, Tacoma, WA 98415-0299 Ph: () -	Dr Teona Callaham Amble, PHD 2202 South Cedar St #300/#200, Tacoma, WA 98405 Ph: (253) 301-5280

Reviews and Comments

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Dr Teona Callaham Amble, PHD - Medicare Psychologist in Tacoma, WA