Holly Kaye Ancell, CSW in Provo, UT - Medicare Counselor Provider

Holly Kaye Ancell, CSW is a medicare enrolled "Counselor - Mental Health" provider in Provo, Utah. Her current practice location is 151 S University Ave # 1400, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 851-7118.

Holly Kaye Ancell is licensed to practice in Utah (license number 11771987-3502) 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 1194209825.

Contact Information

	Holly Kaye Ancell, CSW
	151 S University Ave # 1400, Provo, UT 84601-4427
	(801) 851-7118
	(801) 851-7137

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Kaye Ancell
Gender	Female
Speciality	Counselor - Mental Health
Location	151 S University Ave # 1400, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194209825
Provider Enumeration Date: 09/19/2018
Last Update Date: 06/22/2022

Medicare PECOS Information:

PECOS PAC ID: 6103206537
Enrollment ID: I20220701001731

Medical Identifiers

Medical identifiers for Holly Kaye Ancell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194209825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	11771987-3502 (Utah)	Primary
1041C0700X	Social Worker - Clinical	11771987-3502 (Utah)	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. Holly Kaye Ancell allows following entities to bill medicare on her behalf.

Entity Name	Wasatch Behavioral Health Special Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014

Entity Name	Project Reality
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134211626 PECOS PAC ID: 4082669825 Enrollment ID: O20050315000564

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 Kaye Ancell 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 Kaye Ancell, CSW 481 E 2875 N, Provo, UT 84604-4237 Ph: (435) 680-8603	Holly Kaye Ancell, CSW 151 S University Ave # 1400, Provo, UT 84601-4427 Ph: (801) 851-7118

Reviews and Comments

Counselor in Provo, UT

Susan Easton Black, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1190 N 900 E, Provo, UT 84604 Phone: 801-422-7620 Fax: 801-422-0165
Daniel Howell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N 500 W, Provo, UT 84601 Phone: 801-375-4240 Fax: 801-375-4241
Vicki Goodman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N 500 W, Provo, UT 84601 Phone: 801-420-0465 Fax: 801-375-4241
Colbey Bentley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 N 1850 W, Provo, UT 84604 Phone: 801-375-4240 Fax: 801-375-4241
Maurhy Alfredo Meneses, Counselor Medicare: Not Enrolled in Medicare Practice Location: 836 N 1375 W, Provo, UT 84604 Phone: 801-375-2523 Fax: 801-375-2523
David Skiles, CMHC Counselor Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 Fax: 801-373-0639
Scott D Owen, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3651 N 100 E Ste 100, Provo, UT 84604 Phone: 801-356-0014 Fax: 801-373-3655

Holly Kaye Ancell, CSW - Medicare Counselor in Provo, UT