Holly Horton Randall, LCSW in Nacogdoches, TX - Medicare Social Worker Provider

Holly Horton Randall, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Nacogdoches, Texas. Her current practice location is 8801 E State Highway 7, Nacogdoches, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 556-1162.

Holly Horton Randall is licensed to practice in Texas (license number 33660) 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 1649518028.

Contact Information

	Holly Horton Randall, LCSW
	8801 E State Highway 7, Nacogdoches, TX 75961-8926
	(936) 556-1162
	(936) 568-9839

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Horton Randall
Gender	Female
Speciality	Social Worker - Clinical
Location	8801 E State Highway 7, Nacogdoches, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649518028
Provider Enumeration Date: 01/20/2013
Last Update Date: 09/01/2020

Medicare PECOS Information:

PECOS PAC ID: 9638595457
Enrollment ID: I20200811002525

Medical Identifiers

Medical identifiers for Holly Horton Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649518028	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	33660 (Texas)	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. Holly Horton Randall allows following entities to bill medicare on her behalf.

Entity Name	Burke Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396792420 PECOS PAC ID: 1254312077 Enrollment ID: O20040527000661

Entity Name	Assurasource Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194746016 PECOS PAC ID: 8123125580 Enrollment ID: O20070518000258

Entity Name	Connell & Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821424193 PECOS PAC ID: 9931335395 Enrollment ID: O20131114000027

Entity Name	Oria, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538753827 PECOS PAC ID: 0547679284 Enrollment ID: O20210510000219

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. Holly Horton Randall 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
Holly Horton Randall, LCSW 8801 E State Highway 7, Nacogdoches, TX 75961-8926 Ph: (936) 556-1162	Holly Horton Randall, LCSW 8801 E State Highway 7, Nacogdoches, TX 75961-8926 Ph: (936) 556-1162

Reviews and Comments

Social Worker in Nacogdoches, TX

Morgan Rebecca Davie, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3824 N University Dr, Nacogdoches, TX 75965 Phone: 936-558-6200
Maura Colleen Messer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3524 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-560-6855
Sherry Hawthorne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2378 County Road 256, Nacogdoches, TX 75965 Phone: 936-569-8132
Charlene Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6931 E State Highway 7, Nacogdoches, TX 75961 Phone: 936-404-9110
Ms. Sharon Love Scifres, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2424 N Pecan St, Suite 100, Nacogdoches, TX 75965 Phone: 936-569-6228
Dr. Haskell Cooper, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 412 North St, Suite B, Nacogdoches, TX 75961 Phone: 936-622-0993 Fax: 936-622-0994
Mr. Cheryl Busbice Wilson, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3516 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-569-6562

Holly Horton Randall, LCSW - Medicare Clinical Social Worker in Nacogdoches, TX