Gabrielle Taliaferro Hollis, MMSW, LICSW in Dothan, AL

Gabrielle Taliaferro Hollis, MMSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Dothan, Alabama. Her current practice location is 114 Adris Pl Ste B, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 489-5270.

Gabrielle Taliaferro Hollis is licensed to practice in Alabama (license number 5856C) 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 1205200169.

Contact Information

	Gabrielle Taliaferro Hollis, MMSW, LICSW
	114 Adris Pl Ste B, Dothan, AL 36303-1997
	(334) 489-5270
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gabrielle Taliaferro Hollis
Gender	Female
Speciality	Social Worker - Clinical
Location	114 Adris Pl Ste B, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205200169
Provider Enumeration Date: 11/16/2015
Last Update Date: 09/13/2024

Medicare PECOS Information:

PECOS PAC ID: 3476094681
Enrollment ID: I20240916000941

Medical Identifiers

Medical identifiers for Gabrielle Taliaferro Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205200169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	253447 (Kentucky)	Secondary
1041C0700X	Social Worker - Clinical	CSW.09928844 (Colorado)	Secondary
1041C0700X	Social Worker - Clinical	5856C (Alabama)	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. Gabrielle Taliaferro Hollis allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000237

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. Gabrielle Taliaferro Hollis 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
Gabrielle Taliaferro Hollis, MMSW, LICSW 94 Red Cloud Rd, Fort Rucker, AL 36362-2322 Ph: (470) 497-9935	Gabrielle Taliaferro Hollis, MMSW, LICSW 114 Adris Pl Ste B, Dothan, AL 36303-1997 Ph: (334) 489-5270

Reviews and Comments

Social Worker in Dothan, AL

Ms. Denise B. Cleveland, LGSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 Medical Dr, Dothan, AL 36303 Phone: 334-702-7222 Fax: 334-702-1944
Mr. Jerome Nicholas Hire, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-1964 Fax: 334-794-4131
Elizabeth Brantley, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1865 Honeysuckle Rd Ste 2&3, Dothan, AL 36305 Phone: 334-673-0494 Fax: 334-281-1970
Janet Lynn Ellis, M.S.W., L.C.S.W., PI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St Ste 300, Dothan, AL 36305 Phone: 334-446-0076 Fax: 334-446-0203
Mrs. Leslie Haynes Cude, LCSW, PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1306 Ross Clark Cir, Dothan, AL 36301 Phone: 334-596-0881
Nikeli Sharell Reeves, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 279 Fortner St Ste 6, Dothan, AL 36301 Phone: 334-791-1661

Gabrielle Taliaferro Hollis, MMSW, LICSW - Medicare Clinical Social Worker in Dothan, AL