Mrs Amanita Luba Brazil, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Mount Joy, Pennsylvania. Her current practice location is
68 W Donegal St, Mount Joy, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 450-3012.
Mrs Amanita Luba Brazil is licensed to practice in Pennsylvania (license number SL010044) 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 1336453539.
Healthcare Provider's Profile
| Full Name | Mrs Amanita Luba Brazil |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 68 W Donegal St, Mount Joy, Pennsylvania |
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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: 1336453539
- Provider Enumeration Date: 07/29/2010
- Last Update Date: 07/29/2010
Medicare PECOS Information:
- PECOS PAC ID: 9537555883
- Enrollment ID: I20220413001547
Medical Identifiers
Medical identifiers for Mrs Amanita Luba Brazil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336453539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | SL010044 (Pennsylvania) | 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. Mrs Amanita Luba Brazil allows following entities to bill medicare on her behalf.
| Provider Name | Expressable Speech-language Pathology Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1649875857
PECOS PAC ID: 4688074511
Enrollment ID: O20220301000545 |
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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. Mrs Amanita Luba Brazil 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 |
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Mrs Amanita Luba Brazil, MA, CCC-SLP
68 W Donegal St,
Mount Joy, PA 17552-2220
Ph: (814) 450-3012 | Mrs Amanita Luba Brazil, MA, CCC-SLP
68 W Donegal St,
Mount Joy, PA 17552-2220
Ph: (814) 450-3012 |
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