Mary Nancy Hollis, in Winnetka, IL - Medicare Counselor Provider

Mary Nancy Hollis, is a medicare enrolled "Counselor - Mental Health" provider in Winnetka, Illinois. Her current practice location is 117 Church Rd, Winnetka, Illinois. You can reach out to her office (for appointments etc.) via phone at (415) 624-5796.

Mary Nancy Hollis 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 1639761323.

Contact Information

	Mary Nancy Hollis,
	117 Church Rd, Winnetka, IL 60093-3903
	(415) 624-5796
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Nancy Hollis
Gender	Female
Speciality	Counselor - Mental Health
Location	117 Church Rd, Winnetka, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639761323
Provider Enumeration Date: 02/04/2021
Last Update Date: 02/04/2021

Medicare PECOS Information:

PECOS PAC ID: 5193255586
Enrollment ID: I20250214001371

Medical Identifiers

Medical identifiers for Mary Nancy Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639761323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Mary Nancy Hollis allows following entities to bill medicare on her behalf.

Entity Name	Inclusive Insight Psychotherapy & Consulting
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407381064 PECOS PAC ID: 4880937903 Enrollment ID: O20190513001970

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. Mary Nancy Hollis 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
Mary Nancy Hollis, 117 Church Rd, Winnetka, IL 60093-3903 Ph: (415) 624-5796	Mary Nancy Hollis, 117 Church Rd, Winnetka, IL 60093-3903 Ph: (415) 624-5796

Reviews and Comments

Counselor in Winnetka, IL

Norma Canelas, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 992 1/2 Green Bay Rd, Winnetka, IL 60093 Phone: 847-446-8060 Fax: 847-446-9768
Mr. Oren P Matteson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Glendale Ave, Winnetka, IL 60093 Phone: 773-517-3418
Debra Mcgowan, MA,MS,LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1299 Hackberry Ln, Winnetka, IL 60093 Phone: 847-256-4950
Ms. Kathleen F Stebbins Sr., MS LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1367 Edgewood Ln, Winnetka, IL 60093 Phone: 847-271-2035
Daniel Karabatsos, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 560 Green Bay Rd, Winnetka, IL 60093 Phone: 866-727-8274
Dr. Jennifer Fife, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 Sunset Rd, Winnetka, IL 60093 Phone: 847-563-4143 Fax: 815-642-0662
Mrs. Kathleen J. Fink, L.C.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 992 1/2 Green Bay Rd., Family Service Winnetka-northfield, Winnetka, IL 60093 Phone: 847-446-8060 Fax: 847-446-9768

Mary Nancy Hollis, - Medicare Counselor in Winnetka, IL