Evan David Holloway, PHD - Medicare Counselor in San Francisco, CA

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Evan David Holloway, PHD is a medicare enrolled "Psychologist" provider in San Francisco, California. His current practice location is 1001 Potrero Ave Bldg. 5, #6b, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 206-5270.

Evan David Holloway is licensed to practice in California (license number 33561) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457911349.

Contact Information

Evan David Holloway, PHD
1001 Potrero Ave Bldg. 5, #6b,
San Francisco, CA 94110-3518
(415) 206-5270
(415) 206-4722

Map and Direction


Healthcare Provider's Profile

Full NameEvan David Holloway
GenderMale
SpecialityPsychologist
Location1001 Potrero Ave Bldg. 5, #6b, San Francisco, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457911349
  • Provider Enumeration Date: 06/13/2019
  • Last Update Date: 03/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709250491
  • Enrollment ID: I20230320002907

Medical Identifiers

Medical identifiers for Evan David Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457911349NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
103T00000XPsychologist 33561 (California)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. Evan David Holloway allows following entities to bill medicare on his behalf.
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameUcsf Psychiatry
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427105279
PECOS PAC ID: 4981680832
Enrollment ID: O20040629001513
Entity NameCity & County Of San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982737524
PECOS PAC ID: 1658280748
Enrollment ID: O20050309000770
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104992817
PECOS PAC ID: 3678547304
Enrollment ID: O20090403000024

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. Evan David Holloway 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 AddressPractice Location Address
Evan David Holloway, PHD
1001 Potrero Ave,
San Francisco, CA 94110-3518

Ph: (415) 206-5270		Evan David Holloway, PHD
1001 Potrero Ave Bldg. 5, #6b,
San Francisco, CA 94110-3518

Ph: (415) 206-5270

Reviews and Comments


Psychologist in San Francisco, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.