Mr Daniel Lee Holler, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in New Windsor, Maryland. His current practice location is
15601 Wildrose Ct, New Windsor, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 259-1013.
Mr Daniel Lee Holler is licensed to practice in Maryland (license number 09573) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972652923.
Healthcare Provider's Profile
Full Name | Mr Daniel Lee Holler |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 15601 Wildrose Ct, New Windsor, Maryland |
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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: 1972652923
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 06/26/2008
Medicare PECOS Information:
- PECOS PAC ID: 5799834768
- Enrollment ID: I20090521000359
Medical Identifiers
Medical identifiers for Mr Daniel Lee Holler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972652923 | NPI | - | NPPES |
5867595 | Other | MD | AETNA PROVIDER |
527BCE | Other | MD | CARE FIRST MD PROVIDER |
R6290013 | Other | DC | CAREFIRST |
68541203 | Other | MD | CAREFIRST |
68541204 | Other | MD | CAREFIRST |
100024852 | Other | MD | APS |
K2800001 | Other | MD | BLUE CHOICE PROVIDER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 09573 (Maryland) | 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. Mr Daniel Lee Holler allows following entities to bill medicare on his behalf.
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210908001372 |
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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. Mr Daniel Lee Holler 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 |
Mr Daniel Lee Holler, LCSW-C 15601 Wildrose Ct, New Windsor, MD 21776-7601 Ph: (410) 259-1013 | Mr Daniel Lee Holler, LCSW-C 15601 Wildrose Ct, New Windsor, MD 21776-7601 Ph: (410) 259-1013 |
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