Wanda K Holloway, PSYD, LCSW, LPC in Springfield, MO - Medicare Clinical Social Worker Provider

Wanda K Holloway, PSYD, LCSW, LPC is a medicare enrolled "Social Worker - Clinical" provider in Springfield, Missouri. She graduated from healthcare school in 2000 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Burrell, Inc. and her current practice location is 1300 E Bradford Pkwy Bldg B, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 761-5000.

Wanda K Holloway is licensed to practice in Missouri (license number 000745) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598763088.

Contact Information

	Wanda K Holloway, PSYD, LCSW, LPC
	1300 E Bradford Pkwy Bldg B, Springfield, MO 65804-4264
	(417) 761-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wanda K Holloway
Gender	Female
Speciality	Clinical Social Worker
Experience	26 Years
Location	1300 E Bradford Pkwy Bldg B, Springfield, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Wanda K Holloway graduated from medical school in 2000

NPI Data:

NPI Number: 1598763088
Provider Enumeration Date: 07/08/2005
Last Update Date: 02/06/2026

Medicare PECOS Information:

PECOS PAC ID: 0244332849
Enrollment ID: I20070228000601

Medical Identifiers

Medical identifiers for Wanda K Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598763088	NPI	-	NPPES
493216402	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	000995 (Missouri)	Secondary
1041C0700X	Social Worker - Clinical	000745 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Burrell, Inc.	4486548625	190

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. Wanda K Holloway allows following entities to bill medicare on her behalf.

Entity Name	Burrell, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372

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. Wanda K Holloway 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
Wanda K Holloway, PSYD, LCSW, LPC 2885 W Battlefield St, Springfield, MO 65807-3952 Ph: (417) 761-5000	Wanda K Holloway, PSYD, LCSW, LPC 1300 E Bradford Pkwy Bldg B, Springfield, MO 65804-4264 Ph: (417) 761-5000

Wanda K Holloway, PSYD, LCSW, LPC - Medicare Counselor in Springfield, MO