Dr Imac Soraya Reynaga Holmes, EDD MS LPC LCADC in Williams, AZ

Dr Imac Soraya Reynaga Holmes, EDD MS LPC LCADC is a medicare enrolled "Counselor - Professional" provider in Williams, Arizona. Her current practice location is 300 S 6th St, Williams, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 635-4441.

Dr Imac Soraya Reynaga Holmes is licensed to practice in Arizona (license number LPC-19884) 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 1447313911.

Contact Information

	Dr Imac Soraya Reynaga Holmes, EDD MS LPC LCADC
	300 S 6th St, Williams, AZ 86046-0110
	(928) 635-4441
	(928) 635-4403

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Imac Soraya Reynaga Holmes
Gender	Female
Speciality	Counselor - Professional
Location	300 S 6th St, Williams, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447313911
Provider Enumeration Date: 12/18/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6507206042
Enrollment ID: I20240430003978

Medical Identifiers

Medical identifiers for Dr Imac Soraya Reynaga Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447313911	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC004761 (Pennsylvania)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	37LC00163700 (New Jersey)	Secondary
101YP2500X	Counselor - Professional	37PC00398600 (New Jersey)	Secondary
101YP2500X	Counselor - Professional	LPC-19884 (Arizona)	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. Dr Imac Soraya Reynaga Holmes allows following entities to bill medicare on her behalf.

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: O20221129001217

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. Dr Imac Soraya Reynaga 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
Dr Imac Soraya Reynaga Holmes, EDD MS LPC LCADC Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 522-9879	Dr Imac Soraya Reynaga Holmes, EDD MS LPC LCADC 300 S 6th St, Williams, AZ 86046-0110 Ph: (928) 635-4441

Reviews and Comments

Counselor in Williams, AZ

Jody Tatro, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 263 Pinecrest Trl, Williams, AZ 86046 Phone: 415-497-4354
Mrs. Mary Denise Heiss, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 S 7th St, Williams, AZ 86046 Phone: 928-635-4474 Fax: 928-635-2796
Mrs. Carrie Lynn Appleby-kittle, LPC, LISAC Counselor Medicare: Medicare Enrolled Practice Location: 7480 E Jolly Rogue Ln, Williams, AZ 86046 Phone: 602-432-9830
Robert Leslie Farrell, M.ED.,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N 7th St, Williams, AZ 86046 Phone: 928-635-4428 Fax: 928-635-1213

Dr Imac Soraya Reynaga Holmes, EDD MS LPC LCADC - Medicare Counselor in Williams, AZ