Holly Clause, is a medicare enrolled "Counselor - Mental Health" provider in Wolfeboro Falls, New Hampshire. Her current practice location is
35 Center St Unit 8, Wolfeboro Falls, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 569-5818.
Holly Clause is licensed to practice in New Hampshire (license number 449) 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 1043331093.
Healthcare Provider's Profile
Full Name | Holly Clause |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 35 Center St Unit 8, Wolfeboro Falls, New Hampshire |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043331093
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 08/28/2013
Medicare PECOS Information:
- PECOS PAC ID: 1951844182
- Enrollment ID: I20240617001688
Medical Identifiers
Medical identifiers for Holly Clause such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043331093 | NPI | - | NPPES |
3076115 | Medicaid | NH | |
14Y001491NH03 | Other | | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 449 (New Hampshire) | 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. Holly Clause allows following entities to bill medicare on her behalf.
Entity Name | Northern Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700955028 PECOS PAC ID: 3173595931 Enrollment ID: O20041203000587 |
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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. Holly Clause 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 |
Holly Clause, Po Box 271, Wolfeboro, NH 03894-0271 Ph: (603) 569-5818 | Holly Clause, 35 Center St Unit 8, Wolfeboro Falls, NH 03896-7600 Ph: (603) 569-5818 |
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