Jaclyn Holloway, LCSW - Medicare Clinical Social Worker in Ennis, TX

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Jaclyn Holloway, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ennis, Texas. Her current practice location is 601 S Clay St Ste 104, Ennis, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 875-6600.

Jaclyn Holloway is licensed to practice in Texas (license number 103428) 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 1609604214.

Contact Information

Jaclyn Holloway, LCSW
601 S Clay St Ste 104,
Ennis, TX 75119-5771
(972) 875-6600
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJaclyn Holloway
GenderFemale
SpecialitySocial Worker - Clinical
Location601 S Clay St Ste 104, Ennis, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609604214
  • Provider Enumeration Date: 07/24/2024
  • Last Update Date: 01/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2961942594
  • Enrollment ID: I20240910004025

Medical Identifiers

Medical identifiers for Jaclyn Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609604214NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 103428 (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. Jaclyn Holloway allows following entities to bill medicare on her behalf.
Entity NameMy Coping Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699439869
PECOS PAC ID: 1456744713
Enrollment ID: O20220209000306

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. Jaclyn Holloway 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
Jaclyn Holloway, LCSW
601 S Clay St Ste 104,
Ennis, TX 75119-5771

Ph: (682) 587-9174		Jaclyn Holloway, LCSW
601 S Clay St Ste 104,
Ennis, TX 75119-5771

Ph: (972) 875-6600

Reviews and Comments


Social Worker in Ennis, TX

Claudia Lee Stephens, LCSW; PSC;
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1700 Charlottsville Dr, Ennis, TX 75119
Phone: 972-965-2367    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.