Holly Warren, is a medicare enrolled "Speech-language Pathologist" provider in Linden, Tennessee. Her current practice location is
857 Squirrel Hollow Dr, Linden, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 622-1551.
Holly Warren is licensed to practice in Tennessee (license number 4169) 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 1164144044.
Healthcare Provider's Profile
| Full Name | Holly Warren |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 857 Squirrel Hollow Dr, Linden, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164144044
- Provider Enumeration Date: 09/16/2022
- Last Update Date: 09/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082158688
- Enrollment ID: I20240705002322
Medical Identifiers
Medical identifiers for Holly Warren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164144044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 4169 (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. Holly Warren allows following entities to bill medicare on her behalf.
| Provider Name | Sonnys Place Of Waynesboro |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073299681
PECOS PAC ID: 9739541657
Enrollment ID: O20230809002424 |
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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 Warren 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 |
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Holly Warren,
Po Box 8114,
Chattanooga, TN 37414-0114
Ph: () - | Holly Warren,
857 Squirrel Hollow Dr,
Linden, TN 37096-6479
Ph: (423) 622-1551 |
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