Ebony L Holloway, in Philadelphia, PA - Medicare Social Worker Provider

Ebony L Holloway, is a medicare enrolled "Social Worker - Clinical" provider in Philadelphia, Pennsylvania. Her current practice location is 271 W Tulpehocken St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (240) 308-1814.

Ebony L Holloway is licensed to practice in Pennsylvania (license number CW021990) 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 1376268086.

Contact Information

	Ebony L Holloway,
	271 W Tulpehocken St, Philadelphia, PA 19144-3209
	(240) 308-1814
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ebony L Holloway
Gender	Female
Speciality	Social Worker - Clinical
Location	271 W Tulpehocken St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376268086
Provider Enumeration Date: 10/05/2022
Last Update Date: 10/05/2022

Medicare PECOS Information:

PECOS PAC ID: 1254878549
Enrollment ID: I20240805001578

Medical Identifiers

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

Identifier	Type	State	Issuer
1376268086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CW021990 (Pennsylvania)	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. Ebony L Holloway allows following entities to bill medicare on her behalf.

Entity Name	Peds 360 Plus Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730940263 PECOS PAC ID: 9234676784 Enrollment ID: O20240801004641

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. Ebony L 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
Ebony L Holloway, 271 W Tulpehocken St, Philadelphia, PA 19144-3209 Ph: (240) 308-1814	Ebony L Holloway, 271 W Tulpehocken St, Philadelphia, PA 19144-3209 Ph: (240) 308-1814

Reviews and Comments

Social Worker in Philadelphia, PA

Dr. Erica D Goldblatt, DSW, LCSW, MBE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 233 S 6th St Ste C33, Philadelphia, PA 19106 Phone: 267-324-9564
Ms. Robyn Allen Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 401, Philadelphia, PA 19102 Phone: 267-701-8685
Ms. Clare Deering Deloskey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 344 Fitzwater St., Apartment 2r, Philadelphia, PA 19147 Phone: 215-868-9240
Denis Michael Carey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 267-292-7700
Ms. Heather Alters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3905 Ford Rd Ste 6, Philadelphia, PA 19131 Phone: 215-878-3400
Mr. Joseph Charles Walsh, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1518 Walnut St Ste 202&208, Philadelphia, PA 19102 Phone: 855-762-0043
Lucy Gleysteen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1348 Bainbridge St, Philadelphia, PA 19147 Phone: 215-563-0652

Ebony L Holloway, - Medicare Clinical Social Worker in Philadelphia, PA