Mr Jonathan Dwayne Holiday, LADACLL in Smyrna, TN

Mr Jonathan Dwayne Holiday, LADACLL is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Smyrna, Tennessee. His current practice location is 4330 Freemark Dr, Smyrna, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 604-6988.

Mr Jonathan Dwayne Holiday is licensed to practice in Tennessee (license number LDC0000001255) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629849427.

Contact Information

	Mr Jonathan Dwayne Holiday, LADACLL
	4330 Freemark Dr, Smyrna, TN 37167-8417
	(615) 604-6988
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jonathan Dwayne Holiday
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	4330 Freemark Dr, Smyrna, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629849427
Provider Enumeration Date: 01/10/2024
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 7517405418
Enrollment ID: I20240809001726

Medical Identifiers

Medical identifiers for Mr Jonathan Dwayne Holiday such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629849427	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LDC0000001255 (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. Mr Jonathan Dwayne Holiday allows following entities to bill medicare on his behalf.

Entity Name	National Addiction Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477186336 PECOS PAC ID: 1254709959 Enrollment ID: O20221130003665

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 Jonathan Dwayne 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
Mr Jonathan Dwayne Holiday, LADACLL 4330 Freemark Dr, Smyrna, TN 37167-8417 Ph: (615) 604-6988	Mr Jonathan Dwayne Holiday, LADACLL 4330 Freemark Dr, Smyrna, TN 37167-8417 Ph: (615) 604-6988

Reviews and Comments

Counselor in Smyrna, TN

Kylie Mcmahan, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Stonecrest Pkwy Ste 102, Smyrna, TN 37167 Phone: 615-247-6831
Kerissa J Frazier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Mayfield Dr, Smyrna, TN 37167 Phone: 816-287-2088
Dr. Michelle Camile Stevens, PH.D., LPC- MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 Nissan Dr Ste 200, Smyrna, TN 37167 Phone: 615-956-8347
Taylor Ruth Bruffey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Stonecrest Pkwy Ste 102, Smyrna, TN 37167 Phone: 615-247-6831
Shirley Marks, LADAC, LMFT, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 Nissan Dr Ste 202, Smyrna, TN 37167 Phone: 615-462-7392 Fax: 615-267-0020
Wendy Bryant Foster, L.C.S.W. Counselor Medicare: Medicare Enrolled Practice Location: 695 President Pl, Ste 202, Smyrna, TN 37167 Phone: 615-269-4990 Fax: 615-953-9862
Nicole Bernice Reeves, Counselor Medicare: Medicare Enrolled Practice Location: 301 Wolverine Trl Ste 200, Smyrna, TN 37167 Phone: 615-751-0579

Mr Jonathan Dwayne Holiday, LADACLL - Medicare Counselor in Smyrna, TN