Mrs Holly Orlasky, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Fort Myers, Florida. Her current practice location is
13880 Shell Point Plz Ste 110, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 454-2146.
Mrs Holly Orlasky is licensed to practice in Florida (license number SW21324) 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 1407300288.
Healthcare Provider's Profile
| Full Name | Mrs Holly Orlasky |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 13880 Shell Point Plz Ste 110, Fort Myers, 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: 1407300288
- Provider Enumeration Date: 08/09/2016
- Last Update Date: 10/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052777208
- Enrollment ID: I20230515001439
Medical Identifiers
Medical identifiers for Mrs Holly Orlasky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407300288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 100467 (Florida) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00247100 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05810900 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW21324 (Florida) | 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 Holly Orlasky allows following entities to bill medicare on her behalf.
| Entity Name | The Christian & Missionary Alliance Foundation, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821160607
PECOS PAC ID: 9739072232
Enrollment ID: O20040207000013 |
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| Entity Name | David Lawrence Mental Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801891940
PECOS PAC ID: 0547257313
Enrollment ID: O20040426001435 |
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| Entity Name | The Traveling Therapist Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699244640
PECOS PAC ID: 2769723402
Enrollment ID: O20190408001121 |
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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 Holly Orlasky 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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Mrs Holly Orlasky, LCSW, LCADC
3916 Se 11th Ave,
Cape Coral, FL 33904-5162
Ph: (732) 861-4982 | Mrs Holly Orlasky, LCSW, LCADC
13880 Shell Point Plz Ste 110,
Fort Myers, FL 33908-3504
Ph: (239) 454-2146 |
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