Jordan Hollar, is a medicare enrolled "Psychologist - Clinical" provider in Washington, District Of Columbia. His current practice location is
650 Pennsylvania Ave Se, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at
(202) 544-5440.
Jordan Hollar is licensed to practice in Virginia (license number 0810008255) 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 1598340200.
Healthcare Provider's Profile
Full Name | Jordan Hollar |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 650 Pennsylvania Ave Se, Washington, District Of Columbia |
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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: 1598340200
- Provider Enumeration Date: 03/15/2021
- Last Update Date: 08/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729432604
- Enrollment ID: I20230926002875
Medical Identifiers
Medical identifiers for Jordan Hollar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598340200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | PSYA00381 (District Of Columbia) | Secondary |
103TC0700X | Psychologist - Clinical | 0810008255 (Virginia) | 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. Jordan Hollar allows following entities to bill medicare on his behalf.
Entity Name | Capitolhill Consortium For Counseling & Consultation, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992965552 PECOS PAC ID: 1951602796 Enrollment ID: O20151221000254 |
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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. Jordan Hollar 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 |
Jordan Hollar, 650 Pennsylvania Ave Se Ste 440, Washington, DC 20003-4424 Ph: (716) 465-2858 | Jordan Hollar, 650 Pennsylvania Ave Se, Washington, DC 20003-4318 Ph: (202) 544-5440 |
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