Mr James Earl Holland Jr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Arcata, California. His current practice location is
1600 Weeot Way, Arcata, California. You can reach out to his office (for appointments etc.) via phone at
(707) 825-5000.
Mr James Earl Holland Jr is licensed to practice in California (license number 81335) 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 1558510743.
Healthcare Provider's Profile
Full Name | Mr James Earl Holland Jr |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1600 Weeot Way, Arcata, California |
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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: 1558510743
- Provider Enumeration Date: 09/12/2008
- Last Update Date: 12/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092057430
- Enrollment ID: I20201009001993
Medical Identifiers
Medical identifiers for Mr James Earl Holland Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558510743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | ASW 27989 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 81335 (California) | 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. Mr James Earl Holland Jr allows following entities to bill medicare on his behalf.
Entity Name | United Indian Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497751572 PECOS PAC ID: 9830085075 Enrollment ID: O20040225000459 |
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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. Mr James Earl Holland Jr 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 |
Mr James Earl Holland Jr, LCSW 1600 Weeot Way, Arcata, CA 95521-4734 Ph: (707) 825-5000 | Mr James Earl Holland Jr, LCSW 1600 Weeot Way, Arcata, CA 95521-4734 Ph: (707) 825-5000 |
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