Yasmine Declama Holbrook, LCSW in Plantation, FL - Medicare Social Worker Provider

Yasmine Declama Holbrook, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Plantation, Florida. Her current practice location is 261 N University Dr Ste 500, Plantation, Florida. You can reach out to her office (for appointments etc.) via phone at (561) 316-8490.

Yasmine Declama Holbrook is licensed to practice in Florida (license number SW12861) 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 1649667767.

Contact Information

	Yasmine Declama Holbrook, LCSW
	261 N University Dr Ste 500, Plantation, FL 33324-2009
	(561) 316-8490
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Yasmine Declama Holbrook
Gender	Female
Speciality	Social Worker - Clinical
Location	261 N University Dr Ste 500, Plantation, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649667767
Provider Enumeration Date: 04/16/2015
Last Update Date: 08/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6800190901
Enrollment ID: I20160210002472

Medical Identifiers

Medical identifiers for Yasmine Declama Holbrook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649667767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	14009234-3501 (Utah)	Secondary
1041C0700X	Social Worker - Clinical	SW12861 (Florida)	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. Yasmine Declama Holbrook allows following entities to bill medicare on her behalf.

Entity Name	Healing Heart Counseling And Consulting, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275900441 PECOS PAC ID: 5991009094 Enrollment ID: O20160210002087

Entity Name	Refresh Canopy Cove, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Yasmine Declama Holbrook 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
Yasmine Declama Holbrook, LCSW 261 N University Dr Ste 500, Plantation, FL 33324-2009 Ph: (561) 316-8490	Yasmine Declama Holbrook, LCSW 261 N University Dr Ste 500, Plantation, FL 33324-2009 Ph: (561) 316-8490

Reviews and Comments

Social Worker in Plantation, FL

Orly Doron, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 S Pine Island Rd, Ste 230, Plantation, FL 33324 Phone: 954-370-2140 Fax: 954-916-1252
Marsha Patrice Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 S State Road 7, Plantation, FL 33317 Phone: 954-321-2296
Krystal Antionette Farnum, LMHC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 S Pine Island Rd Ste 300, Plantation, FL 33324 Phone: 570-540-3465
Mrs. Elizabeth Rachel Shaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2761 Nw 119th Ave, Plantation, FL 33323 Phone: 195-459-3835
Autumn Quiles, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 S State Road 7, Plantation, FL 33317 Phone: 954-321-2296
Mr. Martin S Laser, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 350 Nw 70th Ave, Suite A, Plantation, FL 33317 Phone: 954-587-7520 Fax: 954-587-7527
Vaylu Maymon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1860 N Pine Island Rd, Plantation, FL 33322 Phone: 954-303-1602

Yasmine Declama Holbrook, LCSW - Medicare Clinical Social Worker in Plantation, FL