Mr Lacey Broom Holmes, LCSW - Medicare Clinical Social Worker in Mccomb, MS

Mr Lacey Broom Holmes, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mccomb, Mississippi. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Serenity Psychiatric Outpatient, Llc and her current practice location is 1312c Harrison Ave, Mccomb, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 684-8284.

Mr Lacey Broom Holmes is licensed to practice in Mississippi (license number C5152) 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 1821560319.

Contact Information

Mr Lacey Broom Holmes, LCSW
1312c Harrison Ave,
Mccomb, MS 39648-2830
(601) 684-8284
Not Available



Healthcare Provider's Profile

Full NameMr Lacey Broom Holmes
GenderFemale
SpecialityClinical Social Worker
Experience17 Years
Location1312c Harrison Ave, Mccomb, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Lacey Broom Holmes graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1821560319
  • Provider Enumeration Date: 12/20/2018
  • Last Update Date: 05/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597002188
  • Enrollment ID: I20190118002495

Medical Identifiers

Medical identifiers for Mr Lacey Broom Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821560319NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C5152 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Serenity Psychiatric Outpatient, Llc79111818057

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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 Lacey Broom Holmes allows following entities to bill medicare on her behalf.
Entity NameSerenity Psychiatric Outpatient, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881973642
PECOS PAC ID: 7911181805
Enrollment ID: O20110914000274

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Entity NameHope For Healing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982335386
PECOS PAC ID: 1850752619
Enrollment ID: O20230727000211

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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. Mr Lacey Broom Holmes 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 AddressPractice Location Address
Mr Lacey Broom Holmes, LCSW
18 Atley Holmes Rd,
Jayess, MS 39641-8272

Ph: (601) 303-0154
Mr Lacey Broom Holmes, LCSW
1312c Harrison Ave,
Mccomb, MS 39648-2830

Ph: (601) 684-8284

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Social Worker in Mccomb, MS

Bente Johnson, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1301b Harrison Ave, Mccomb, MS 39648
Phone: 601-600-2429    Fax: 601-600-2428
Kelsa Thames, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 300 Rawls Dr, Mccomb, MS 39648
Phone: 601-684-8284    Fax: 601-684-8199
Mrs. Tracey Michele Alexander-boyd, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1701 White St, Mccomb, MS 39648
Phone: 601-684-2173    Fax: 601-249-4234
Pamela J Spiers-jones, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1701 White St, Mccomb, MS 39648
Phone: 601-684-2173    Fax: 601-249-4234
Mr. Roger Darren Price, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1701 White St, Mccomb, MS 39648
Phone: 601-684-2173    Fax: 601-249-4234
Jane C Funderburg, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1701 White St, Mccomb, MS 39648
Phone: 601-249-4219    Fax: 601-249-4234
Jessie L Singleton, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1701 White Street, Mccomb, MS 39648
Phone: 601-249-4217    Fax: 601-249-4234

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