Mrs Regina Hollibush, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chisago City, Minnesota. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
11725 Stinson Ave, Chisago City, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 257-8896.
Mrs Regina Hollibush is licensed to practice in Minnesota (license number 18910) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1396910022.
Healthcare Provider's Profile
| Full Name | Mrs Regina Hollibush |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 25 Years |
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| Location | 11725 Stinson Ave, Chisago City, Minnesota |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Regina Hollibush graduated from medical school in 1999
NPI Data:
- NPI Number: 1396910022
- Provider Enumeration Date: 04/23/2008
- Last Update Date: 12/30/2009
Medicare PECOS Information:
- PECOS PAC ID: 6901978899
- Enrollment ID: I20080709000714
Medical Identifiers
Medical identifiers for Mrs Regina Hollibush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396910022 | NPI | - | NPPES |
| 43588300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 6925-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 18910 (Minnesota) | 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 Regina Hollibush allows following entities to bill medicare on her behalf.
| Entity Name | Bamboo Counseling Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437691128
PECOS PAC ID: 5496036683
Enrollment ID: O20161230000725 |
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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 Regina Hollibush 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 |
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Mrs Regina Hollibush, LCSW
11725 Stinson Ave,
Chisago City, MN 55013-9542
Ph: (651) 257-8896 | Mrs Regina Hollibush, LCSW
11725 Stinson Ave,
Chisago City, MN 55013-9542
Ph: (651) 257-8896 |
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