Lakenya Holmes Mccallister, MSW, PLCSW is a medicare enrolled "Social Worker - Clinical" provider in Cocoa, Florida. Her current practice location is
640 Brevard Ave, Suite 104, Cocoa, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 514-0371.
Lakenya Holmes Mccallister is licensed to practice in * (Not Available) (license number ) 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 1629196779.
Healthcare Provider's Profile
| Full Name | Lakenya Holmes Mccallister |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 640 Brevard Ave, Cocoa, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629196779
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 4981027067
- Enrollment ID: I20200708000838
Medical Identifiers
Medical identifiers for Lakenya Holmes Mccallister such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629196779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Lakenya Holmes Mccallister allows following entities to bill medicare on her behalf.
| Entity Name | Cotler Healthcare & Development Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225075047
PECOS PAC ID: 0143121145
Enrollment ID: O20040114000075 |
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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. Lakenya Holmes Mccallister 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 |
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Lakenya Holmes Mccallister, MSW, PLCSW
4215 Kellybrook Dr,
Concord, NC 28025-7100
Ph: (225) 733-0498 | Lakenya Holmes Mccallister, MSW, PLCSW
640 Brevard Ave, Suite 104,
Cocoa, FL 32792-2541
Ph: (321) 514-0371 |
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