Holly S Whitaker, MA, LPCC in Saint Paul, MN - Medicare Counselor Provider

Holly S Whitaker, MA, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Saint Paul, Minnesota. Her current practice location is 1360 Energy Park Dr Ste 330, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 439-2059.

Holly S Whitaker is licensed to practice in Minnesota (license number CC01515) 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 1205970761.

Contact Information

	Holly S Whitaker, MA, LPCC
	1360 Energy Park Dr Ste 330, Saint Paul, MN 55108-5298
	(651) 439-2059
	(888) 675-8262

Map and Direction

Healthcare Provider's Profile

Full Name	Holly S Whitaker
Gender	Female
Speciality	Counselor - Mental Health
Location	1360 Energy Park Dr Ste 330, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205970761
Provider Enumeration Date: 02/17/2007
Last Update Date: 11/05/2020

Medicare PECOS Information:

PECOS PAC ID: 9234573247
Enrollment ID: I20240219000561

Medical Identifiers

Medical identifiers for Holly S Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205970761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP1600X	Counselor - Pastoral	E0008095 (Ohio)	Secondary
101YP2500X	Counselor - Professional	E0008095 (Ohio)	Secondary
101YM0800X	Counselor - Mental Health	CC01515 (Minnesota)	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 S Whitaker allows following entities to bill medicare on her behalf.

Entity Name	Rush Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801942040 PECOS PAC ID: 8224131750 Enrollment ID: O20070321000265

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 S Whitaker 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 S Whitaker, MA, LPCC 588 101st Ave N, Naples, FL 34108-3201 Ph: (651) 439-2059	Holly S Whitaker, MA, LPCC 1360 Energy Park Dr Ste 330, Saint Paul, MN 55108-5298 Ph: (651) 439-2059

Reviews and Comments

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Holly S Whitaker, MA, LPCC - Medicare Counselor in Saint Paul, MN