Mrs Lynne Chantel Holley, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Irvington, New Jersey. Her current practice location is
50 Union Ave Ste 804b, Irvington, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(770) 568-0619.
Mrs Lynne Chantel Holley is licensed to practice in New Jersey (license number 44SC05717900) 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 1134677248.
Healthcare Provider's Profile
Full Name | Mrs Lynne Chantel Holley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 50 Union Ave Ste 804b, Irvington, New Jersey |
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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: 1134677248
- Provider Enumeration Date: 09/17/2016
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921370180
- Enrollment ID: I20170823000532
Medical Identifiers
Medical identifiers for Mrs Lynne Chantel Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134677248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00259900 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC05717900 (New Jersey) | 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. Mrs Lynne Chantel Holley allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Of New Jersey Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841949328 PECOS PAC ID: 5193194835 Enrollment ID: O20221220000110 |
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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. Mrs Lynne Chantel Holley 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 |
Mrs Lynne Chantel Holley, LCSW, LCADC Po Box 358, South Orange, NJ 07079-0358 Ph: (770) 568-0619 | Mrs Lynne Chantel Holley, LCSW, LCADC 50 Union Ave Ste 804b, Irvington, NJ 07111-5221 Ph: (770) 568-0619 |
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