Mrs Holly Jean Lott, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ft Gordon, Georgia. Her current practice location is
300 E Hospital Rd, Room 13a-10, Ft Gordon, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 787-3656.
Mrs Holly Jean Lott is licensed to practice in Georgia (license number CSW004029) 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 1760642458.
Healthcare Provider's Profile
Full Name | Mrs Holly Jean Lott |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 300 E Hospital Rd, Ft Gordon, Georgia |
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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: 1760642458
- Provider Enumeration Date: 06/16/2008
- Last Update Date: 09/10/2013
Medicare PECOS Information:
- PECOS PAC ID: 6406236546
- Enrollment ID: I20220706003399
Medical Identifiers
Medical identifiers for Mrs Holly Jean Lott such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760642458 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CSW004029 (Georgia) | 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. Mrs Holly Jean Lott allows following entities to bill medicare on her behalf.
Entity Name | Wisconsin Lutheran Child And Family Service Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083786628 PECOS PAC ID: 0749233898 Enrollment ID: O20130627000261 |
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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. Mrs Holly Jean Lott 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 |
Mrs Holly Jean Lott, LCSW 300 E Hospital Road, Room 13a-10, Ft. Gordon, GA 30905-5650 Ph: (706) 787-3656 | Mrs Holly Jean Lott, LCSW 300 E Hospital Rd, Room 13a-10, Ft Gordon, GA 30905-5650 Ph: (706) 787-3656 |
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