Marcia Hollingsworth, EDD in Grand Rapids, MI - Medicare Psychologist Provider

Marcia Hollingsworth, EDD is a medicare enrolled "Psychologist - Clinical" provider in Grand Rapids, Michigan. Her current practice location is 1870 Leonard Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 956-1122.

Marcia Hollingsworth is licensed to practice in Michigan (license number 6301007516) 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 1023070315.

Contact Information

	Marcia Hollingsworth, EDD
	1870 Leonard Ne, Grand Rapids, MI 49505
	(616) 956-1122
	(616) 956-8033

Map and Direction

Healthcare Provider's Profile

Full Name	Marcia Hollingsworth
Gender	Female
Speciality	Psychologist - Clinical
Location	1870 Leonard Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023070315
Provider Enumeration Date: 04/04/2006
Last Update Date: 11/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3678760774
Enrollment ID: I20101214001180

Medical Identifiers

Medical identifiers for Marcia Hollingsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023070315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301007516 (Michigan)	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. Marcia Hollingsworth allows following entities to bill medicare on her behalf.

Entity Name	Dr. Marcia Hollingsworth, Edd Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366835589 PECOS PAC ID: 4486972809 Enrollment ID: O20150415002110

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. Marcia Hollingsworth 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
Marcia Hollingsworth, EDD Po Box 30516 Dept 6001a, Lansing, MI 48909-8016 Ph: (616) 235-2090	Marcia Hollingsworth, EDD 1870 Leonard Ne, Grand Rapids, MI 49505 Ph: (616) 956-1122

Reviews and Comments

Psychologist in Grand Rapids, MI

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Marcia Hollingsworth, EDD - Medicare Psychologist in Grand Rapids, MI