Holly Manning, PHD in Providence, RI - Medicare Psychologist Provider

Holly Manning, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Providence, Rhode Island. Her current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-4515.

Holly Manning is licensed to practice in Rhode Island (license number PS00825) 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 1588792790.

Contact Information

	Holly Manning, PHD
	593 Eddy St, Providence, RI 02903-4923
	(401) 444-4515
	(401) 444-7018

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Manning
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	593 Eddy St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588792790
Provider Enumeration Date: 03/01/2007
Last Update Date: 02/11/2019

Medicare PECOS Information:

PECOS PAC ID: 4082712195
Enrollment ID: I20070612000770

Medical Identifiers

Medical identifiers for Holly Manning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588792790	NPI	-	NPPES
PS00825	Other	RI	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS00825 (Rhode Island)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	PS00825 (Rhode Island)	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. Holly Manning allows following entities to bill medicare on her behalf.

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089

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. Holly Manning 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
Holly Manning, PHD 117 Ellenfield St Ste 101, Providence, RI 02905-4513 Ph: (401) 444-6779	Holly Manning, PHD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-4515

Reviews and Comments

Psychologist in Providence, RI

Julie Elizabeth Morris, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 146 W River St, Suite 11a, Providence, RI 02904 Phone: 401-793-8770 Fax: 401-793-8709
Alexandrea L Craft, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 50 Holden St, Providence, RI 02908 Phone: 401-453-7640 Fax: 401-453-7646
Dr. Livia Freier, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 38 N Court St, Providence, RI 02903 Phone: 401-484-7050
Debra J Lobato-barrera, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Hoppin St, Suite 204, Providence, RI 02903 Phone: 401-444-8945 Fax: 401-444-8742
Mrs. Gladys V Rezendes, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 118 Comstock Avenue, Providence, RI 02907 Phone: 401-621-5882 Fax: 501-621-8463
Mrs. Rhonda L Sabo, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 341 Broadway, Providence, RI 02909 Phone: 401-453-5100
Dr. Andrew Jonah Taytslin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Richmond Sq Ste 300e, Providence, RI 02906 Phone: 401-349-3131

Holly Manning, PHD - Medicare Psychologist in Providence, RI