Regina W Holley, LPC in Bainbridge, GA - Medicare Counselor Provider

Regina W Holley, LPC is a medicare enrolled "Counselor - Mental Health" provider in Bainbridge, Georgia. Her current practice location is 411 Bainbridge St, Bainbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 220-5786.

Regina W Holley is licensed to practice in Georgia (license number LPC006306) 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 1356037915.

Contact Information

	Regina W Holley, LPC
	411 Bainbridge St, Bainbridge, GA 39819-5074
	(229) 220-5786
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Regina W Holley
Gender	Female
Speciality	Counselor - Mental Health
Location	411 Bainbridge St, Bainbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356037915
Provider Enumeration Date: 04/14/2023
Last Update Date: 04/14/2023

Medicare PECOS Information:

PECOS PAC ID: 4981040847
Enrollment ID: I20240313003697

Medical Identifiers

Medical identifiers for Regina W Holley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356037915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC006306 (Georgia)	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. Regina W Holley allows following entities to bill medicare on her behalf.

Entity Name	Edgecare 360 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306590328 PECOS PAC ID: 1658758396 Enrollment ID: O20220518000876

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. Regina W 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
Regina W Holley, LPC Po Box 7057, Bainbridge, GA 39818-7057 Ph: (229) 220-5786	Regina W Holley, LPC 411 Bainbridge St, Bainbridge, GA 39819-5074 Ph: (229) 220-5786

Reviews and Comments

Counselor in Bainbridge, GA

David Lee Breault, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 S Washington St, Bainbridge, GA 39819 Phone: 229-248-2683
Pauline Maxwell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 S Monroe St Apt C, Bainbridge, GA 39817 Phone: 229-220-7348
Kathryn Culverson Coe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Broad St, Bainbridge, GA 39817 Phone: 229-416-4737
Linda Turral, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 S Broad St, Bainbridge, GA 39817 Phone: 229-243-1633 Fax: 229-243-9446
Ms. Tina Fleming, CPCS, LPC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 S West St, Bainbridge, GA 39819 Phone: 229-246-9050
Mr. Marty Dewayne Brock, M.A., CCAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 Prosperity Church Rd, Bainbridge, GA 39817 Phone: 229-220-2275

Regina W Holley, LPC - Medicare Counselor in Bainbridge, GA