Mrs Shondra Shantel Holmes, LCSW in Moody Afb, GA - Medicare Social Worker Provider

Mrs Shondra Shantel Holmes, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Moody Afb, Georgia. Her current practice location is 3280 Mitchell Blvd, Moody Afb, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 257-2778.

Mrs Shondra Shantel Holmes is licensed to practice in Georgia (license number CSW006303) 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 1649808296.

Contact Information

	Mrs Shondra Shantel Holmes, LCSW
	3280 Mitchell Blvd, Moody Afb, GA 31699-2057
	(229) 257-2778
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shondra Shantel Holmes
Gender	Female
Speciality	Social Worker - Clinical
Location	3280 Mitchell Blvd, Moody Afb, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649808296
Provider Enumeration Date: 03/30/2020
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 4082027966
Enrollment ID: I20210114000717

Medical Identifiers

Medical identifiers for Mrs Shondra Shantel Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649808296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW006303 (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 Shondra Shantel Holmes allows following entities to bill medicare on her behalf.

Entity Name	South Central Primary Care Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891978854 PECOS PAC ID: 1951395920 Enrollment ID: O20040413000249

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 Shondra Shantel Holmes 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 Shondra Shantel Holmes, LCSW 3280 Mitchell Blvd, Moody Afb, GA 31699-1500 Ph: (229) 257-2778	Mrs Shondra Shantel Holmes, LCSW 3280 Mitchell Blvd, Moody Afb, GA 31699-2057 Ph: (229) 257-2778

Reviews and Comments

Social Worker in Moody Afb, GA

Mr. Paul J Richardson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-5447
Ashley Fink Shapiro, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-9205
Ms. Kristina Pauline Gardella, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3280 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778
Capri Delvaux, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3280 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778
Charnell E Smith-akpassa, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-3898 Fax: 229-257-4409
Rachael Dawn Dudley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-262-1000
Kimberly Hines, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3280 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778

Mrs Shondra Shantel Holmes, LCSW - Medicare Clinical Social Worker in Moody Afb, GA