Donovan Holloway, in Vienna, VA - Medicare Social Worker Provider

Donovan Holloway, is a medicare enrolled "Social Worker - Clinical" provider in Vienna, Virginia. His current practice location is 1934 Old Gallows Rd Ste 210, Vienna, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 800-1105.

Donovan Holloway is licensed to practice in Virginia (license number 0904013098) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720751233.

Contact Information

	Donovan Holloway,
	1934 Old Gallows Rd Ste 210, Vienna, VA 22182-4043
	(571) 800-1105
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Donovan Holloway
Gender	Male
Speciality	Social Worker - Clinical
Location	1934 Old Gallows Rd Ste 210, Vienna, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720751233
Provider Enumeration Date: 07/29/2021
Last Update Date: 09/15/2021

Medicare PECOS Information:

PECOS PAC ID: 6103287222
Enrollment ID: I20230804001370

Medical Identifiers

Medical identifiers for Donovan Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720751233	NPI	-	NPPES
0904013098	Other	VA	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904013098 (Virginia)	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. Donovan Holloway allows following entities to bill medicare on his behalf.

Entity Name	Commonwealth Counseling Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851345805 PECOS PAC ID: 0941288583 Enrollment ID: O20210302002411

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. Donovan Holloway 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
Donovan Holloway, 5500 Ming Ave Ste 265, Bakersfield, CA 93309-4689 Ph: () -	Donovan Holloway, 1934 Old Gallows Rd Ste 210, Vienna, VA 22182-4043 Ph: (571) 800-1105

Reviews and Comments

Social Worker in Vienna, VA

Brittany Lutz Estep, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 131 Park St Ne, Suite 8a, Vienna, VA 22180 Phone: 571-215-1653
Brian Sheaffer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 Church St Nw Ste 205, Vienna, VA 22180 Phone: 571-261-7764
Miss Sarah Roberts, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2110 Gallows Rd Ste D, Vienna, VA 22182 Phone: 703-592-4600
Sandra L Moncrief-stuart, MA, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Park St Ne, Vienna, VA 22180 Phone: 703-281-4928
Rose Marie Mcintrye, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Park St Ne, Vienna, VA 22180 Phone: 703-281-2657
Sarah Hagen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 Park St Ne Ste 10a, Vienna, VA 22180 Phone: 703-401-8571
Mr. James Robert Lippold, LCSW-0904012388 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Beulah Road, Ne, Suite 200-b, Vienna, VA 22180 Phone: 703-255-7012 Fax: 703-255-6171

Donovan Holloway, - Medicare Clinical Social Worker in Vienna, VA