Elizabeth H Lolley, MSW is a medicare enrolled "Counselor - Mental Health" provider in Bonifay, Florida. Her current practice location is
1987 Remington Pl, Bonifay, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 625-2423.
Elizabeth H Lolley is licensed to practice in * (Not Available) (license number ) 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 1124650270.
Healthcare Provider's Profile
Full Name | Elizabeth H Lolley |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1987 Remington Pl, Bonifay, Florida |
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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: 1124650270
- Provider Enumeration Date: 02/06/2020
- Last Update Date: 02/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 8921478157
- Enrollment ID: I20230105000713
Medical Identifiers
Medical identifiers for Elizabeth H Lolley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124650270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Elizabeth H Lolley allows following entities to bill medicare on her behalf.
Entity Name | Florida Therapy Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972548022 PECOS PAC ID: 9133022577 Enrollment ID: O20040209000800 |
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Entity Name | Chrysalis Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700961646 PECOS PAC ID: 8325186646 Enrollment ID: O20091106000319 |
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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. Elizabeth H Lolley 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 |
Elizabeth H Lolley, MSW 1987 Remington Pl, Bonifay, FL 32425 Ph: (850) 625-2423 | Elizabeth H Lolley, MSW 1987 Remington Pl, Bonifay, FL 32425 Ph: (850) 625-2423 |
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