Alicia V Holley, LPCC, ATR-BC in Bemidji, MN - Medicare Counselor Provider

Alicia V Holley, LPCC, ATR-BC is a medicare enrolled "Counselor - Professional" provider in Bemidji, Minnesota. Her current practice location is 3220 Hannah Ave Nw, Ste 2, Bemidji, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 209-3600.

Alicia V Holley is licensed to practice in Minnesota (license number CC00138) 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 1144437575.

Contact Information

	Alicia V Holley, LPCC, ATR-BC
	3220 Hannah Ave Nw, Ste 2, Bemidji, MN 56601
	(218) 209-3600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia V Holley
Gender	Female
Speciality	Counselor - Professional
Location	3220 Hannah Ave Nw, Bemidji, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144437575
Provider Enumeration Date: 05/16/2007
Last Update Date: 05/21/2024

Medicare PECOS Information:

PECOS PAC ID: 6406291665
Enrollment ID: I20240227002806

Medical Identifiers

Medical identifiers for Alicia V Holley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144437575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC00138 (Minnesota)	Primary
101YP2500X	Counselor - Professional	514-7-1-04 (North Dakota)	Secondary
221700000X	Art Therapist	05-037 (Minnesota)	Secondary

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. Alicia V Holley allows following entities to bill medicare on her behalf.

Entity Name	Sanford Health Of Northern Minnesota
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442

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. Alicia V Holley 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
Alicia V Holley, LPCC, ATR-BC Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Alicia V Holley, LPCC, ATR-BC 3220 Hannah Ave Nw, Ste 2, Bemidji, MN 56601 Ph: (218) 209-3600

Reviews and Comments

Counselor in Bemidji, MN

Jessica L Scott, BS, LSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 4th St Nw Ste 300, Bemidji, MN 56601 Phone: 218-444-5155 Fax: 218-333-3921
Mr. John Alexander Eric Graham, PSYCHOLOGIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 4th St Nw Ste 110, Bemidji, MN 56601 Phone: 218-586-4057
Jane Ella Phelps, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 4th St Nw Ste 300, Bemidji, MN 56601 Phone: 218-444-5155 Fax: 218-333-3921
Christopher Lee Slough, Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 15th St Nw, Bemidji, MN 56601 Phone: 218-751-3280 Fax: 218-751-3298
Hannah Wilson, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1705 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-333-5880
Ms. Nicole Rae Dixon, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 15th Street Nw, Bemidji, MN 56601 Phone: 218-751-3280 Fax: 218-751-3298
Dr. Kathleen Mary Irwin, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 15th St., Bemidji, MN 56601 Phone: 218-751-3280 Fax: 218-751-3298

Alicia V Holley, LPCC, ATR-BC - Medicare Counselor in Bemidji, MN