Amy Susan Holley, PHD in Seattle, WA - Medicare Psychologist Provider

Amy Susan Holley, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Seattle, Washington. Her current practice location is 4800 Sand Point Way Ne, M/s W-9824, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 884-1429.

Amy Susan Holley is licensed to practice in Washington (license number Y60145305) 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 1346558848.

Contact Information

	Amy Susan Holley, PHD
	4800 Sand Point Way Ne, M/s W-9824, Seattle, WA 98105-3901
	(206) 884-1429
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Susan Holley
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	4800 Sand Point Way Ne, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346558848
Provider Enumeration Date: 09/17/2010
Last Update Date: 09/04/2013

Medicare PECOS Information:

PECOS PAC ID: 1052507712
Enrollment ID: I20140327000539

Medical Identifiers

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

Identifier	Type	State	Issuer
1346558848	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	Y60145305 (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. Amy Susan Holley allows following entities to bill medicare on her behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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 Susan 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
Amy Susan Holley, PHD 4800 Sand Point Way Ne, M/s W-9824, Seattle, WA 98105-3901 Ph: (206) 884-1429	Amy Susan Holley, PHD 4800 Sand Point Way Ne, M/s W-9824, Seattle, WA 98105-3901 Ph: (206) 884-1429

Reviews and Comments

Psychologist in Seattle, WA

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Amy Susan Holley, PHD - Medicare Psychologist in Seattle, WA