Mr Jason Holmes, LCPC is a medicare enrolled "Counselor - Professional" provider in White Marsh, Maryland. His current practice location is
5430 Campbell Blvd Ste 211, White Marsh, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 893-4600.
Mr Jason Holmes is licensed to practice in Maryland (license number LC13829) 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 1295299683.
Healthcare Provider's Profile
Full Name | Mr Jason Holmes |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 5430 Campbell Blvd Ste 211, White Marsh, Maryland |
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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: 1295299683
- Provider Enumeration Date: 01/30/2019
- Last Update Date: 05/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022555762
- Enrollment ID: I20240731000827
Medical Identifiers
Medical identifiers for Mr Jason Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295299683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LGP7659 (Maryland) | Secondary |
101YP2500X | Counselor - Professional | LC13829 (Maryland) | 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 Jason Holmes allows following entities to bill medicare on his behalf.
Entity Name | Safe Harbor Behavioral Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242 |
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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 Jason Holmes 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 Jason Holmes, LCPC 9636 Alda Dr, Baltimore, MD 21234-1848 Ph: (410) 303-7615 | Mr Jason Holmes, LCPC 5430 Campbell Blvd Ste 211, White Marsh, MD 21162-5504 Ph: (410) 893-4600 |
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