Nacole Marietta Holmes, is a medicare enrolled "Social Worker" provider in Longview, Washington. Her current practice location is
831 12th Ave, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 998-2349.
Nacole Marietta Holmes is licensed to practice in Washington (license number LW61544692) 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 1972032449.
Healthcare Provider's Profile
| Full Name | Nacole Marietta Holmes |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 831 12th Ave, Longview, Washington |
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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: 1972032449
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446785745
- Enrollment ID: I20241122003836
Medical Identifiers
Medical identifiers for Nacole Marietta Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972032449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LW61544692 (Washington) | Secondary |
| 101Y00000X | Counselor | LW61544692 (Washington) | Secondary |
| 104100000X | Social Worker | LW61544692 (Washington) | 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. Nacole Marietta Holmes allows following entities to bill medicare on her behalf.
| Entity Name | Cowlitz Family Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891724506
PECOS PAC ID: 5991696395
Enrollment ID: O20040324000330 |
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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. Nacole Marietta 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 |
|---|
Nacole Marietta Holmes,
1057 12th Ave,
Longview, WA 98632-2509
Ph: (360) 998-2349 | Nacole Marietta Holmes,
831 12th Ave,
Longview, WA 98632-2403
Ph: (360) 998-2349 |
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