Courtney Fields Holmes, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rincon, Georgia. Her current practice location is
207 S Columbia Ave Ste C, Rincon, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 656-6212.
Courtney Fields Holmes is licensed to practice in Georgia (license number CSW005179) 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 1356758155.
Healthcare Provider's Profile
Full Name | Courtney Fields Holmes |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 207 S Columbia Ave Ste C, Rincon, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356758155
- Provider Enumeration Date: 07/14/2014
- Last Update Date: 12/09/2014
Medicare PECOS Information:
- PECOS PAC ID: 9436473717
- Enrollment ID: I20150114001311
Medical Identifiers
Medical identifiers for Courtney Fields Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356758155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CSW005179 (Georgia) | 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. Courtney Fields Holmes allows following entities to bill medicare on her behalf.
Entity Name | United Psychology Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063704542 PECOS PAC ID: 0648424796 Enrollment ID: O20130125000418 |
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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. Courtney Fields Holmes 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 |
Courtney Fields Holmes, LCSW Po Box 4301, Port Wentworth, GA 31407-4301 Ph: (912) 656-6212 | Courtney Fields Holmes, LCSW 207 S Columbia Ave Ste C, Rincon, GA 31326-9027 Ph: (912) 656-6212 |
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