Amy Holsten, PHD in Martinez, GA - Medicare Psychologist Provider

Amy Holsten, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Martinez, Georgia. Her current practice location is 3711 Executive Center Dr, Suite 101, Martinez, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 210-8855.

Amy Holsten is licensed to practice in Georgia (license number PSY003677) 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 1053665356.

Contact Information

	Amy Holsten, PHD
	3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951
	(706) 210-8855
	(678) 541-7699

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Holsten
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	3711 Executive Center Dr, Martinez, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053665356
Provider Enumeration Date: 11/08/2012
Last Update Date: 06/24/2013

Medicare PECOS Information:

PECOS PAC ID: 4789811761
Enrollment ID: I20230106001393

Medical Identifiers

Medical identifiers for Amy Holsten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053665356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PSY003677 (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. Amy Holsten allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Amy Holsten 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
Amy Holsten, PHD 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 Ph: (706) 210-8855	Amy Holsten, PHD 3711 Executive Center Dr, Suite 101, Martinez, GA 30907-0951 Ph: (706) 210-8855

Reviews and Comments

Psychologist in Martinez, GA

Dr. Maria E Gangarosa-emerson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 302 Baston Rd, Martinez, GA 30907 Phone: 706-447-8700 Fax: 706-447-8701
Dr. Ewa Halina Paziak, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 522 Blackburn Dr, Martinez, GA 30907 Phone: 706-364-1820 Fax: 706-364-1870
Dr. Patrick J. Williams, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4145 Columbia Road, Martinez, GA 30907 Phone: 706-869-7373 Fax: 706-869-7380
Dr. Douglas Starling Panye, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3990 Columbia Rd, Martinez, GA 30907 Phone: 706-860-1122 Fax: 706-860-3839
Dr. David Wayne Proefrock, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4684 Oakley Pirkle Rd, Martinez, GA 30907 Phone: 706-863-4534
Dr. Dara A Delancy, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3711 Executive Center Dr, Suite 101, Martinez, GA 30907 Phone: 706-210-8855 Fax: 678-541-7699

Amy Holsten, PHD - Medicare Psychologist in Martinez, GA