Hollie Fay Campbell, in Homer Glen, IL - Medicare Counselor Provider

Hollie Fay Campbell, is a medicare enrolled "Counselor - Mental Health" provider in Homer Glen, Illinois. Her current practice location is 13728 W Carefree Dr, Homer Glen, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 507-5543.

Hollie Fay Campbell is licensed to practice in Illinois (license number 180015266) 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 1659833788.

Contact Information

	Hollie Fay Campbell,
	13728 W Carefree Dr, Homer Glen, IL 60491-8655
	(708) 507-5543
	(708) 966-4244

Map and Direction

Healthcare Provider's Profile

Full Name	Hollie Fay Campbell
Gender	Female
Speciality	Counselor - Mental Health
Location	13728 W Carefree Dr, Homer Glen, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659833788
Provider Enumeration Date: 04/06/2019
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9436670098
Enrollment ID: I20250311003714

Medical Identifiers

Medical identifiers for Hollie Fay Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659833788	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178.011291 (Illinois)	Secondary
101YM0800X	Counselor - Mental Health	180015266 (Illinois)	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. Hollie Fay Campbell allows following entities to bill medicare on her behalf.

Entity Name	Hollie F Campbell
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174332951 PECOS PAC ID: 3971024530 Enrollment ID: O20250311003749

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. Hollie Fay Campbell 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
Hollie Fay Campbell, 13728 W Carefree Dr, Homer Glen, IL 60491-8655 Ph: (815) 955-8725	Hollie Fay Campbell, 13728 W Carefree Dr, Homer Glen, IL 60491-8655 Ph: (708) 507-5543

Reviews and Comments

Counselor in Homer Glen, IL

Lynsey Lattyak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13955 W Grenelefe Ln, Homer Glen, IL 60491 Phone: 708-408-4866
Zaira Carvajal, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14933 Founders Xing, Homer Glen, IL 60491 Phone: 708-737-7968
Jodi Kay Walsh, MA LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15915 S Crystal Creek Drive, Unit E, Homer Glen, IL 60491 Phone: 708-334-7711
Susan Marie Anewalt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14933 Founders Xing, Homer Glen, IL 60491 Phone: 708-737-7968 Fax: 708-966-4244
Mrs. Melissa Flanigan Zofkie, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14933 Founders Xing, Homer Glen, IL 60491 Phone: 708-737-7968
Terry Lee D'amico, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15750 S Bell Rd, Suite 2e, Homer Glen, IL 60491 Phone: 708-301-6311 Fax: 408-228-0891
Marissa Ariana Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14933 Founders Xing, Homer Glen, IL 60491 Phone: 773-895-0433

Hollie Fay Campbell, - Medicare Counselor in Homer Glen, IL