Holly Mundon, in Fairfield, OH - Medicare Social Worker Provider

Holly Mundon, is a medicare enrolled "Social Worker - Clinical" provider in Fairfield, Ohio. Her current practice location is 5 Darby Heath, Fairfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 874-5203.

Holly Mundon is licensed to practice in * (Not Available) (license number ) 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 1174166185.

Contact Information

	Holly Mundon,
	5 Darby Heath, Fairfield, OH 45014-5261
	(513) 874-5203
	(513) 874-5215

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Mundon
Gender	Female
Speciality	Social Worker - Clinical
Location	5 Darby Heath, Fairfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174166185
Provider Enumeration Date: 10/22/2019
Last Update Date: 10/22/2019

Medicare PECOS Information:

PECOS PAC ID: 2365804895
Enrollment ID: I20230816001569

Medical Identifiers

Medical identifiers for Holly Mundon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174166185	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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 Mundon allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509

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 Mundon 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
Holly Mundon, 5 Darby Heath, Fairfield, OH 45014-5261 Ph: (513) 874-5203	Holly Mundon, 5 Darby Heath, Fairfield, OH 45014-5261 Ph: (513) 874-5203

Reviews and Comments

Social Worker in Fairfield, OH

Charmaine Ann Wagner-bell, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6570 Sosna Dr, Fairfield, OH 45014 Phone: 513-942-3181 Fax: 513-881-7183
Laura Holmes, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1251 Nilles Rd Ste 5, Fairfield, OH 45014 Phone: 513-939-0300 Fax: 513-939-0310
Mr. Louis Alfieri, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1251 Nilles Rd Ste 5, Fairfield, OH 45014 Phone: 513-939-0300 Fax: 513-939-0310
Jennifer Nabel, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 908 Symmes Rd, Fairfield, OH 45014 Phone: 513-868-6500
Michael Thomas Ramos, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6570 Sosna Dr, Fairfield, OH 45014 Phone: 513-942-3181
Brittany Beck, MSW-LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3050 Mack Rd Ste 205, Fairfield, OH 45014 Phone: 513-682-6980

Holly Mundon, - Medicare Clinical Social Worker in Fairfield, OH