Charlotte Holley, in Oak Park, IL - Medicare Social Worker Provider

Charlotte Holley, is a medicare enrolled "Social Worker - Clinical" provider in Oak Park, Illinois. Her current practice location is 120 S Marion St, Oak Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 383-7500.

Charlotte Holley is licensed to practice in Illinois (license number 150108829) 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 1487370250.

Contact Information

	Charlotte Holley,
	120 S Marion St, Oak Park, IL 60302-2809
	(708) 383-7500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charlotte Holley
Gender	Female
Speciality	Social Worker - Clinical
Location	120 S Marion St, Oak Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487370250
Provider Enumeration Date: 10/13/2022
Last Update Date: 10/13/2022

Medicare PECOS Information:

PECOS PAC ID: 3971970393
Enrollment ID: I20221027001926

Medical Identifiers

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

Identifier	Type	State	Issuer
1487370250	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	150108829 (Illinois)	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. Charlotte Holley allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467586669 PECOS PAC ID: 7810809019 Enrollment ID: O20031105000426

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. Charlotte 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
Charlotte Holley, 120 S Marion St, Oak Park, IL 60302-2809 Ph: () -	Charlotte Holley, 120 S Marion St, Oak Park, IL 60302-2809 Ph: (708) 383-7500

Reviews and Comments

Social Worker in Oak Park, IL

Amanda Hensley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 S Maple Ave Apt 40, Oak Park, IL 60302 Phone: 847-370-2955
Rachel Hall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 719 S Humphrey Ave, Oak Park, IL 60304 Phone: 773-510-6418
Mrs. Josephine M Lyles Lynn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1024 N Boulevard, Suite 211, Oak Park, IL 60301 Phone: 708-606-0984
Ms. Pamela L Latos, MSW LCSW ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1024 North Blvd, Suite 209, Oak Park, IL 60301 Phone: 708-358-9000 Fax: 708-387-9451
Mrs. Joan Louise Winston, LCSW, CRADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1140 Lake St, Suite 504, Oak Park, IL 60301 Phone: 708-802-1532 Fax: 708-386-2278
Dima Dairanieh, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 137 N Oak Park Ave Ste 215, Oak Park, IL 60301 Phone: 630-474-8128
Mrs. Dawn Stewart-walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 N Oak Park Ave, Suite 203, Oak Park, IL 60301 Phone: 708-953-5543

Charlotte Holley, - Medicare Clinical Social Worker in Oak Park, IL