Dr Holly Alisha Carraway Warren, MD is a medicare enrolled "Internal Medicine" physician in Snow Hill, North Carolina. Her current practice location is
1106 Kingold Blvd, Snow Hill, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 747-2921.
Dr Holly Alisha Carraway Warren is licensed to practice in North Carolina (license number 149963) 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 1629236013.
Physician's Profile
| Full Name | Dr Holly Alisha Carraway Warren |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 1106 Kingold Blvd, Snow Hill, North Carolina |
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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: 1629236013
- Provider Enumeration Date: 06/02/2008
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123276318
- Enrollment ID: I20120913000002
Medical Identifiers
Medical identifiers for Dr Holly Alisha Carraway Warren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629236013 | NPI | - | NPPES |
| 5920810 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 149963 (North Carolina) | 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. Dr Holly Alisha Carraway Warren allows following entities to bill medicare on her behalf.
| Entity Name | Greene County Health Care Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891798054 PECOS PAC ID: 0648189001 Enrollment ID: O20040117000030 |
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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. Dr Holly Alisha Carraway Warren 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 |
Dr Holly Alisha Carraway Warren, MD 7 Professional Dr, Snow Hill, NC 28580-1332 Ph: (252) 747-8162 | Dr Holly Alisha Carraway Warren, MD 1106 Kingold Blvd, Snow Hill, NC 28580-1619 Ph: (252) 747-2921 |
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