Samantha Nicole Hollon, in Fayetteville, NC - Medicare Counselor Provider

Samantha Nicole Hollon, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Fayetteville, North Carolina. Her current practice location is 911 Hay St, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 438-0939.

Samantha Nicole Hollon is licensed to practice in North Carolina (license number ) 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 1467010819.

Contact Information

	Samantha Nicole Hollon,
	911 Hay St, Fayetteville, NC 28305-5313
	(910) 438-0939
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Nicole Hollon
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	911 Hay St, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467010819
Provider Enumeration Date: 05/31/2019
Last Update Date: 05/31/2019

Medicare PECOS Information:

PECOS PAC ID: 4183011513
Enrollment ID: I20220503001394

Medical Identifiers

Medical identifiers for Samantha Nicole Hollon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467010819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(North Carolina)	Primary
1041C0700X	Social Worker - Clinical	(North Carolina)	Secondary

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. Samantha Nicole Hollon allows following entities to bill medicare on her behalf.

Entity Name	Carolina Outreach, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083723266 PECOS PAC ID: 0446449748 Enrollment ID: O20110118000335

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. Samantha Nicole Hollon 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
Samantha Nicole Hollon, Po Box 3777, Pembroke, NC 28372-3777 Ph: (910) 827-4621	Samantha Nicole Hollon, 911 Hay St, Fayetteville, NC 28305-5313 Ph: (910) 438-0939

Reviews and Comments

Counselor in Fayetteville, NC

Annie Rasheedah Hasan, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Mcarthur Rd, Fayetteville, NC 28311 Phone: 910-624-6513 Fax: 910-568-5385
Rivette Cole, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Bolla Dr, Fayetteville, NC 28306 Phone: 910-797-6511 Fax: 910-491-1000
Ms. Katherine Patricia Hand, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Dick St, Fayetteville, NC 28301 Phone: 910-868-6092
Patricia Sunshine Duggan, LCMCHA, LCASA,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5135 Morganton Rd Ste 104, Fayetteville, NC 28314 Phone: 910-216-9256
Mazie Ellis, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3605 Camson Rd, Fayetteville, NC 28306 Phone: 910-391-4520
Nicole Turner, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3427 Melrose Rd, Fayetteville, NC 28304 Phone: 910-900-8256
Shirley Ann White-snead, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Person St, Fayetteville, NC 28301 Phone: 910-438-0939 Fax: 910-438-0942

Samantha Nicole Hollon, - Medicare Counselor in Fayetteville, NC