Mr Lacey Broom Holmes, LCSW in Mccomb, MS - Medicare Clinical Social Worker Provider

Mr Lacey Broom Holmes, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mccomb, Mississippi. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Serenity Psychiatric Outpatient, Llc and her current practice location is 1312c Harrison Ave, Mccomb, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 684-8284.

Mr Lacey Broom Holmes is licensed to practice in Mississippi (license number C5152) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821560319.

Contact Information

	Mr Lacey Broom Holmes, LCSW
	1312c Harrison Ave, Mccomb, MS 39648-2830
	(601) 684-8284
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Lacey Broom Holmes
Gender	Female
Speciality	Clinical Social Worker
Experience	17 Years
Location	1312c Harrison Ave, Mccomb, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Lacey Broom Holmes graduated from medical school in 2007

NPI Data:

NPI Number: 1821560319
Provider Enumeration Date: 12/20/2018
Last Update Date: 05/02/2023

Medicare PECOS Information:

PECOS PAC ID: 5597002188
Enrollment ID: I20190118002495

Medical Identifiers

Medical identifiers for Mr Lacey Broom Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821560319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C5152 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Serenity Psychiatric Outpatient, Llc	7911181805	7

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. Mr Lacey Broom Holmes allows following entities to bill medicare on her behalf.

Entity Name	Serenity Psychiatric Outpatient, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881973642 PECOS PAC ID: 7911181805 Enrollment ID: O20110914000274

Entity Name	Hope For Healing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982335386 PECOS PAC ID: 1850752619 Enrollment ID: O20230727000211

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. Mr Lacey Broom Holmes 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
Mr Lacey Broom Holmes, LCSW 18 Atley Holmes Rd, Jayess, MS 39641-8272 Ph: (601) 303-0154	Mr Lacey Broom Holmes, LCSW 1312c Harrison Ave, Mccomb, MS 39648-2830 Ph: (601) 684-8284

Reviews and Comments

Social Worker in Mccomb, MS

Bente Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1301b Harrison Ave, Mccomb, MS 39648 Phone: 601-600-2429 Fax: 601-600-2428
Kelsa Thames, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Rawls Dr, Mccomb, MS 39648 Phone: 601-684-8284 Fax: 601-684-8199
Mrs. Tracey Michele Alexander-boyd, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-684-2173 Fax: 601-249-4234
Pamela J Spiers-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-684-2173 Fax: 601-249-4234
Mr. Roger Darren Price, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-684-2173 Fax: 601-249-4234
Jane C Funderburg, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-249-4219 Fax: 601-249-4234
Jessie L Singleton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 White Street, Mccomb, MS 39648 Phone: 601-249-4217 Fax: 601-249-4234

Mr Lacey Broom Holmes, LCSW - Medicare Clinical Social Worker in Mccomb, MS