Holly Cramblet, is a medicare enrolled "Psychologist - Counseling" provider in Grand Rapids, Michigan. Her current practice location is
1490 E Beltline Ave Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 940-0040.
Holly Cramblet is licensed to practice in Michigan (license number 6361002922) 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 1821419912.
Healthcare Provider's Profile
Full Name | Holly Cramblet |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 1490 E Beltline Ave Se, Grand Rapids, Michigan |
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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: 1821419912
- Provider Enumeration Date: 12/17/2013
- Last Update Date: 12/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 6901105428
- Enrollment ID: I20160504000858
Medical Identifiers
Medical identifiers for Holly Cramblet such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821419912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 6361002922 (Michigan) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 6361002922 (Michigan) | Secondary |
103TC1900X | Psychologist - Counseling | 6361002922 (Michigan) | 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 Cramblet allows following entities to bill medicare on her behalf.
Entity Name | Hope Network - Rehabilitation Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528043544 PECOS PAC ID: 9234231440 Enrollment ID: O20090316000098 |
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Entity Name | Meghan Mclain Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538815709 PECOS PAC ID: 3971979477 Enrollment ID: O20221025002825 |
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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 Cramblet 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 Cramblet, 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 Ph: (616) 940-0040 | Holly Cramblet, 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 Ph: (616) 940-0040 |
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