Ms Amy Ione Holle, MFT in Fairfax, CA - Medicare Marriage & Family Therapist Provider

Ms Amy Ione Holle, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Fairfax, California. Her current practice location is 351 Olema Rd, Fairfax, California. You can reach out to her office (for appointments etc.) via phone at (415) 847-3112.

Ms Amy Ione Holle is licensed to practice in California (license number 40489) 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 1407029291.

Contact Information

	Ms Amy Ione Holle, MFT
	351 Olema Rd, Fairfax, CA 94930-1339
	(415) 847-3112
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Amy Ione Holle
Gender	Female
Speciality	Marriage & Family Therapist
Location	351 Olema Rd, Fairfax, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407029291
Provider Enumeration Date: 04/11/2008
Last Update Date: 04/11/2008

Medicare PECOS Information:

PECOS PAC ID: 7810439734
Enrollment ID: I20240606004058

Medical Identifiers

Medical identifiers for Ms Amy Ione Holle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407029291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	40489 (California)	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. Ms Amy Ione Holle allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20220404000301

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. Ms Amy Ione Holle 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
Ms Amy Ione Holle, MFT 351 Olema Rd, Fairfax, CA 94930-1339 Ph: (415) 847-3112	Ms Amy Ione Holle, MFT 351 Olema Rd, Fairfax, CA 94930-1339 Ph: (415) 847-3112

Reviews and Comments

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Ms Amy Ione Holle, MFT - Medicare Couples Therapy in Fairfax, CA