Ms Sandra Annette Holt, LCSW - Medicare Clinical Social Worker in Manchester, TN

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Ms Sandra Annette Holt, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Manchester, Tennessee. Her current practice location is 1415 Hillsboro Blvd Ste 103, Manchester, Tennessee. You can reach out to her office (for appointments etc.) via phone at (866) 816-0433.

Ms Sandra Annette Holt is licensed to practice in Tennessee (license number 8558) 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 1811337314.

Contact Information

Ms Sandra Annette Holt, LCSW
1415 Hillsboro Blvd Ste 103,
Manchester, TN 37355-2599
(866) 816-0433
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Sandra Annette Holt
GenderFemale
SpecialitySocial Worker - Clinical
Location1415 Hillsboro Blvd Ste 103, Manchester, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811337314
  • Provider Enumeration Date: 06/28/2013
  • Last Update Date: 08/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507220639
  • Enrollment ID: I20230907004412

Medical Identifiers

Medical identifiers for Ms Sandra Annette Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811337314NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 8558 (Tennessee)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. Ms Sandra Annette Holt allows following entities to bill medicare on her behalf.
Entity NameVolunteer Behavioral Health Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043267107
PECOS PAC ID: 3678485802
Enrollment ID: O20031206000098
Entity NameMental Health Cooperative, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083632897
PECOS PAC ID: 5496798399
Enrollment ID: O20050602000048
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20221116002565
Entity NameMental Health Specialty Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20250206000878

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. Ms Sandra Annette Holt 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 AddressPractice Location Address
Ms Sandra Annette Holt, LCSW
275 Cumberland Bnd,
Nashville, TN 37228-1805

Ph: () -		Ms Sandra Annette Holt, LCSW
1415 Hillsboro Blvd Ste 103,
Manchester, TN 37355-2599

Ph: (866) 816-0433

Reviews and Comments


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Devon Jacqueline Crisman, LCSW
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Phone: 314-441-0009    Fax: 931-728-1229
Rachel M Disney, LCSW
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.