Kierra Holiday, is a medicare enrolled "Social Worker - Clinical" provider in Hyattsville, Maryland. Her current practice location is
7939 New Hampshire Ave, Hyattsville, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 434-3121.
Kierra Holiday is licensed to practice in Maryland (license number 22659) 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 1134787757.
Healthcare Provider's Profile
Full Name | Kierra Holiday |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 7939 New Hampshire Ave, Hyattsville, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134787757
- Provider Enumeration Date: 05/29/2019
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143552729
- Enrollment ID: I20191031001348
Medical Identifiers
Medical identifiers for Kierra Holiday such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134787757 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LC50082098 (District Of Columbia) | Secondary |
101YM0800X | Counselor - Mental Health | 22659 (Maryland) | Secondary |
101YM0800X | Counselor - Mental Health | 0904011626 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | LC50082098 (District Of Columbia) | Secondary |
1041C0700X | Social Worker - Clinical | 0904011626 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | 22659 (Maryland) | 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. Kierra Holiday allows following entities to bill medicare on her behalf.
Entity Name | Minuteclinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20041216000704 |
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Entity Name | Minuteclinic Diagnostic Of Virginia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417076829 PECOS PAC ID: 6709960891 Enrollment ID: O20090123000189 |
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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. Kierra Holiday 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 |
Kierra Holiday, 7939 New Hampshire Ave, Hyattsville, MD 20783-4609 Ph: () - | Kierra Holiday, 7939 New Hampshire Ave, Hyattsville, MD 20783-4609 Ph: (301) 434-3121 |
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