Jennifer Leigh Hollis, LCSW in Forrest City, AR - Medicare Social Worker Provider

Jennifer Leigh Hollis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Forrest City, Arkansas. Her current practice location is 1800 Lindauer Rd, Forrest City, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 494-4600.

Jennifer Leigh Hollis is licensed to practice in Arkansas (license number 2217-C) 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 1528238862.

Contact Information

	Jennifer Leigh Hollis, LCSW
	1800 Lindauer Rd, Forrest City, AR 72335-2404
	(870) 494-4600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Leigh Hollis
Gender	Female
Speciality	Social Worker - Clinical
Location	1800 Lindauer Rd, Forrest City, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528238862
Provider Enumeration Date: 03/03/2008
Last Update Date: 08/06/2024

Medicare PECOS Information:

PECOS PAC ID: 2062742356
Enrollment ID: I20190930002694

Medical Identifiers

Medical identifiers for Jennifer Leigh Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528238862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2217-C (Arkansas)	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. Jennifer Leigh Hollis allows following entities to bill medicare on her behalf.

Entity Name	Life Strategies Counseling, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932154945 PECOS PAC ID: 5890887475 Enrollment ID: O20131112001495

Entity Name	Optum Behavioral Care Of North Carolina, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306613880 PECOS PAC ID: 5092120030 Enrollment ID: O20240321002678

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. Jennifer Leigh 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
Jennifer Leigh Hollis, LCSW Po Box 11064, Fayetteville, AR 72703-1001 Ph: (870) 520-5014	Jennifer Leigh Hollis, LCSW 1800 Lindauer Rd, Forrest City, AR 72335-2404 Ph: (870) 494-4600

Reviews and Comments

Social Worker in Forrest City, AR

Lindsay Ganann, THERAPIST Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 E Broadway St, Forrest City, AR 72335 Phone: 870-630-2328 Fax: 870-630-2348
Francis Dale Coleman, MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 E Broadway St, Forrest City, AR 72335 Phone: 870-630-2328 Fax: 870-630-2348
Tonya Caffey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 E Broadway St, Forrest City, AR 72335 Phone: 870-630-2328
Julia Faye Partain, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 E Broadway St, Forrest City, AR 72335 Phone: 870-630-2328 Fax: 870-630-2348
Nelda Michael, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 E Broadway St, Forrest City, AR 72335 Phone: 870-630-2328 Fax: 870-630-2348
Mrs. Debra Bourgeois Pittman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1521 Albert St, Forrest City, AR 72335 Phone: 870-633-3200
John Jackson, THERAPIST Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 E Broadway St, Forrest City, AR 72335 Phone: 870-630-2328 Fax: 870-630-2348

Jennifer Leigh Hollis, LCSW - Medicare Clinical Social Worker in Forrest City, AR