Carolyn Hollister, LISW in Ankeny, IA - Medicare Social Worker Provider

Carolyn Hollister, LISW is a medicare enrolled "Social Worker - Clinical" provider in Ankeny, Iowa. Her current practice location is 1605 N Ankeny Blvd Ste 110, Ankeny, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 520-8164.

Carolyn Hollister is licensed to practice in Iowa (license number 107365) 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 1932778610.

Contact Information

	Carolyn Hollister, LISW
	1605 N Ankeny Blvd Ste 110, Ankeny, IA 50023-4163
	(515) 520-8164
	(515) 209-7756

Map and Direction

Healthcare Provider's Profile

Full Name	Carolyn Hollister
Gender	Female
Speciality	Social Worker - Clinical
Location	1605 N Ankeny Blvd Ste 110, Ankeny, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932778610
Provider Enumeration Date: 06/17/2021
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2365898319
Enrollment ID: I20231026002447

Medical Identifiers

Medical identifiers for Carolyn Hollister such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932778610	NPI	-	NPPES
107365	Other	IA	SOCIAL WORK LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	107365 (Iowa)	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. Carolyn Hollister allows following entities to bill medicare on her behalf.

Entity Name	Illuminate Life Therapy, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194408500 PECOS PAC ID: 9638525686 Enrollment ID: O20231026002391

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. Carolyn Hollister 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
Carolyn Hollister, LISW 1605 N Ankeny Blvd Ste 110, Ankeny, IA 50023-4163 Ph: (515) 402-1047	Carolyn Hollister, LISW 1605 N Ankeny Blvd Ste 110, Ankeny, IA 50023-4163 Ph: (515) 520-8164

Reviews and Comments

Social Worker in Ankeny, IA

Mrs. Susan Elizabeth Price Saylor, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2525 N Ankeny Blvd, Ste 113, Ankeny, IA 50023 Phone: 515-289-9136 Fax: 515-289-9139
Abbey Shell, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 614 Nw Wagner Ridge Ct, Ankeny, IA 50023 Phone: 515-423-0019
Leisha R Ristau, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2425 N Ankeny Blvd Ste 106, Ankeny, IA 50023 Phone: 515-489-4602 Fax: 515-512-1504
Kay Foster, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1609 N Ankeny Blvd, Ste 210, Ankeny, IA 50023 Phone: 515-953-9256
Mr. John Terry Fandrich, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Sw Ankeny Rd, Ankeny, IA 50023 Phone: 515-289-2272 Fax: 515-289-0126
Hannah Rose Nelson, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1105 N Ankeny Blvd Ste 100, Ankeny, IA 50023 Phone: 515-255-8399
Erika Smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1609 N Ankeny Blvd Ste 120, Ankeny, IA 50023 Phone: 515-681-2610

Carolyn Hollister, LISW - Medicare Clinical Social Worker in Ankeny, IA