Ms Holly Harris, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Newton, Illinois. She graduated from healthcare school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice County Of Jasper and her current practice location is
106 Edwards St, Newton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 783-4154.
Ms Holly Harris is licensed to practice in Illinois (license number 149013796) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477740496.
Healthcare Provider's Profile
Full Name | Ms Holly Harris |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 17 Years |
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Location | 106 Edwards St, Newton, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Holly Harris graduated from medical school in 2007
NPI Data:
- NPI Number: 1477740496
- Provider Enumeration Date: 10/03/2007
- Last Update Date: 03/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 9638354350
- Enrollment ID: I20110429000382
Medical Identifiers
Medical identifiers for Ms Holly Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477740496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 149013796 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
County Of Jasper | 6901904796 | 2 |
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. Ms Holly Harris allows following entities to bill medicare on her behalf.
Entity Name | County Of Jasper |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073782579 PECOS PAC ID: 6901904796 Enrollment ID: O20070601000074 |
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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. Ms Holly Harris 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 |
Ms Holly Harris, MSW, LCSW 708 N Epworth St, Fairfield, IL 62837-2420 Ph: (618) 516-2356 | Ms Holly Harris, MSW, LCSW 106 Edwards St, Newton, IL 62448-1736 Ph: (618) 783-4154 |
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