Ms Lavenia Michele Amburgey, MA is a medicare enrolled "Psychologist - Clinical" provider in Whitesburg, Kentucky. Her current practice location is
84 E Main St, Suite A, Whitesburg, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 633-0035.
Ms Lavenia Michele Amburgey is licensed to practice in Kentucky (license number 148) 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 1356412522.
Healthcare Provider's Profile
| Full Name | Ms Lavenia Michele Amburgey |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 84 E Main St, Whitesburg, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356412522
- Provider Enumeration Date: 11/10/2006
- Last Update Date: 05/21/2012
Medicare PECOS Information:
- PECOS PAC ID: 7113180852
- Enrollment ID: I20120516000741
Medical Identifiers
Medical identifiers for Ms Lavenia Michele Amburgey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356412522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 148 (Kentucky) | 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. Ms Lavenia Michele Amburgey allows following entities to bill medicare on her behalf.
| Entity Name | Michele Amburgey M A Certified Psychologist Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992061501
PECOS PAC ID: 6305009044
Enrollment ID: O20120516000738 |
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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. Ms Lavenia Michele Amburgey 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 |
|---|
Ms Lavenia Michele Amburgey, MA
Po Box 2,
Redfox, KY 41847-0002
Ph: (606) 633-0035 | Ms Lavenia Michele Amburgey, MA
84 E Main St, Suite A,
Whitesburg, KY 41858-7254
Ph: (606) 633-0035 |
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