Amanda L Mayle, PSYD, HSPP - Medicare Psychologist in Fort Wayne, IN

Amanda L Mayle, PSYD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. Her current practice location is 11141 Parkview Plaza Dr Ste 210, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 266-5400.

Amanda L Mayle is licensed to practice in Indiana (license number 20042046A) 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 1003865395.

Contact Information

Amanda L Mayle, PSYD, HSPP
11141 Parkview Plaza Dr Ste 210,
Fort Wayne, IN 46845-1714
(260) 266-5400
(260) 266-5409



Healthcare Provider's Profile

Full NameAmanda L Mayle
GenderFemale
SpecialityPsychologist - Clinical
Location11141 Parkview Plaza Dr Ste 210, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003865395
  • Provider Enumeration Date: 05/06/2006
  • Last Update Date: 10/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406878628
  • Enrollment ID: I20051230000380

Medical Identifiers

Medical identifiers for Amanda L Mayle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003865395NPI-NPPES
200802600MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 20042046A (Indiana)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. Amanda L Mayle allows following entities to bill medicare on her behalf.
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288

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Entity NamePark Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306897004
PECOS PAC ID: 5991794794
Enrollment ID: O20041213000226

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› Verified 7 days ago

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. Amanda L Mayle 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
Amanda L Mayle, PSYD, HSPP
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701

Ph: () -
Amanda L Mayle, PSYD, HSPP
11141 Parkview Plaza Dr Ste 210,
Fort Wayne, IN 46845-1714

Ph: (260) 266-5400

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› Verified 7 days ago


Psychologist in Fort Wayne, IN

Dr. Michelle Renne Miller, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, IN 46804
Phone: 260-434-1606    Fax: 260-434-1612
Dr. Victor L Rebman, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825
Phone: 260-471-9902    Fax: 260-471-9902
Jason T. Cook, PSY.D., HSPP
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804
Phone: 260-483-2400    Fax: 260-960-9361
Dr. Galen Arthur Yordy, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2805 Fairfield Ave, Fort Wayne, IN 46807
Phone: 260-456-4880    Fax: 260-456-3559
Dr. Kelly Stewart Hutner, PSY.D., HSPP
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 11143 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845
Phone: 260-266-5370    Fax: 260-266-5379
Dr. Bruce Edward Nerenberg, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805
Phone: 800-360-8387    Fax: 260-460-1481

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