HOLLY FUESTON LMSW
NPI 1861040990
Social Worker in Cedar Rapids, IA
NPI Status: Active since September 02, 2019
Contact Information
215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
Phone: (319) 364-1953
- Individual
- Female
- Years of Experience 7
- Social Worker
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About HOLLY FUESTON
This page provides the complete NPI Profile along with additional information for Holly Fueston, a provider established in Cedar Rapids, Iowa with a medical specialization in Social Worker and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1861040990 assigned on September 2019. The practitioner's primary taxonomy code is 104100000X with license number 095288 (IA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1861040990
- Provider Name
- HOLLY FUESTON LMSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 215 4TH AVE SE CEDAR RAPIDS, IA 52401
- Location Phone
- (319) 364-1953
- Mailing Address
- 2884 CORAL CT APT 301 CORALVILLE, IA 52241
- Medical School Name
- OTHER
- Graduation Year
- 2019
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-02-2019
- Last Update Date
- 06-17-2020
- Code Navigator
A social worker like Holly Fueston helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 095288
- License State
- IA
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elevate by Medica Bronze $0 Copay PCP Visits - EPO
- Elevate by Medica Bronze Share - EPO
- Elevate by Medica Expanded Bronze Standard - EPO
- Elevate by Medica Gold $0 Copay PCP Visits - EPO
- Elevate by Medica Gold Share - EPO
- Elevate by Medica Gold Standard - EPO
- Elevate by Medica Silver $0 Copay PCP Visits - EPO
- Elevate by Medica Silver Share - EPO
- Elevate by Medica Silver Standard - EPO
- Inspire by Medica Bronze $0 Copay PCP Visits - EPO
- Inspire by Medica Bronze Share - EPO
- Inspire by Medica Expanded Bronze Standard - EPO
- Inspire by Medica Gold $0 Copay PCP Visits - EPO
- Inspire by Medica Gold Share - EPO
- Inspire by Medica Gold Standard - EPO
- Inspire by Medica Silver $0 Copay PCP Visits - EPO
- Inspire by Medica Silver Share - EPO
- Inspire by Medica Silver Standard - EPO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Share - EPO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Holly Fueston is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Holly Fueston is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3779945423
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230814000949
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 6 | 1 | 0 | 4 | 0 | 9 | 9 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 12 | 1 | 0 | 4 | 0 | 9 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 2 + 1 + 0 + 4 + 0 + 9 + 1 + 8 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1861040990 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
SHANNON ELISE PEREA T-LMHC
Counselor
(Mental Health)
215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
LINDSEY KUTCHER
Social Worker
215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
REBECCA JANE BOOTH LMSW
Social Worker
215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
ANGELA SUE MCDOWELL LMSW
Social Worker
(Clinical)
215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
NOELLE KRISTIN ANDREW MS, T-LMHC
Counselor
(Mental Health)
215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
TARYN COCHENOUR
Counselor
(Mental Health)
215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
MRS. KATHRINE RACHEL BECKMAN-SHAULL LISW
Social Worker
(Clinical)
215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
ETTINAH RENEE KENT BSW, TCADC
Counselor
(Addiction (Substance Use Disorder))
215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
EMMA ROSE ZANGER BCBA
Behavior Analyst
215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
TRACI BIDDLE T-LMHC
Counselor
(Mental Health)
215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
RYAN CARLSON
Counselor
(Mental Health)
215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861040990, enumerated as an "individual" on September 02, 2019.
The provider is located at 215 4TH AVE SE CEDAR RAPIDS, IA 52401 and the phone number is (319) 364-1953.
Social Worker with taxonomy code 104100000X.
The provider might be accepting Accepts: Medica and Wellmark Health Plan of Iowa, Inc.. Please consult your insurance carrier or call the provider to verify.