Mrs Paula Vanessa Holloway, MED LMFT in Johnson City, TN - Medicare Marriage & Family Therapist Provider

Mrs Paula Vanessa Holloway, MED LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Johnson City, Tennessee. Her current practice location is 109 West Watauga Avenue, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 232-2700.

Mrs Paula Vanessa Holloway is licensed to practice in Tennessee (license number LMT238) 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 1508960204.

Contact Information

	Mrs Paula Vanessa Holloway, MED LMFT
	109 West Watauga Avenue, Johnson City, TN 37604
	(423) 232-2700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Paula Vanessa Holloway
Gender	Female
Speciality	Marriage & Family Therapist
Location	109 West Watauga Avenue, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508960204
Provider Enumeration Date: 09/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4183074842
Enrollment ID: I20231221002631

Medical Identifiers

Medical identifiers for Mrs Paula Vanessa Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508960204	NPI	-	NPPES
3085403	Other		MAGELLAN SUMMIT
3085403	Other		MAGELLAN NAVIGATOR
3085403	Other		MAGELLAN PINNACLE
334969	Other		VALUE OPTIONS GROUP
62058260566	Other		UBH JOHN DEERE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMT238 (Tennessee)	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 Paula Vanessa Holloway allows following entities to bill medicare on her behalf.

Entity Name	Frontier Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720147408 PECOS PAC ID: 2860302320 Enrollment ID: O20040109000560

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 Paula Vanessa Holloway 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
Mrs Paula Vanessa Holloway, MED LMFT Po Box 9054, Gray, TN 37615-9054 Ph: (423) 467-3600	Mrs Paula Vanessa Holloway, MED LMFT 109 West Watauga Avenue, Johnson City, TN 37604 Ph: (423) 232-2700

Reviews and Comments

Marriage & Family Therapist in Johnson City, TN

Yanah Terry Sullins, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2700 S Roan St, Suite 205, Johnson City, TN 37601 Phone: 423-231-2518
Breana Chappell Nease, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644
Donna Lockaby-morrow, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1319 Sunset Dr Ste 102, Johnson City, TN 37604 Phone: 423-914-8504 Fax: 423-328-8662
Roberta Jan Brownlee, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2214 E Fairview Ave, Johnson City, TN 37601 Phone: 423-928-6464 Fax: 423-232-7970
Mrs. Marbeth Lynne Dougherty, MS L MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2621 Fax: 423-232-2646
Richard Hutchins, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2112 North Roan St., Johnson City, TN 37601 Phone: 423-426-1526
Bryan Sexton, LMFT, CSOTP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2700 S Roan St Ste 430, Johnson City, TN 37601 Phone: 423-747-0380

Mrs Paula Vanessa Holloway, MED LMFT - Medicare Couples Therapy in Johnson City, TN