Mrs Raeanne Eilene Holder, NP in Rancho Mirage, CA

Mrs Raeanne Eilene Holder, NP is a medicare enrolled "Nurse Practitioner - Family" in Rancho Mirage, California. Her current practice location is 40075 Bob Hope Dr Ste A, Rancho Mirage, California. You can reach out to her office (for appointments etc.) via phone at (760) 341-3688.

Mrs Raeanne Eilene Holder is licensed to practice in California (license number 95021563) 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 1326774258.

Contact Information

	Mrs Raeanne Eilene Holder, NP
	40075 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-3945
	(760) 341-3688
	(760) 341-8992

Map and Direction

Provider's Profile

Full Name	Mrs Raeanne Eilene Holder
Gender	Female
Speciality	Nurse Practitioner - Family
Location	40075 Bob Hope Dr Ste A, Rancho Mirage, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326774258
Provider Enumeration Date: 07/25/2022
Last Update Date: 10/25/2023

Medicare PECOS Information:

PECOS PAC ID: 0143694786
Enrollment ID: I20230321002333

Medical Identifiers

Medical identifiers for Mrs Raeanne Eilene Holder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326774258	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95021563 (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. Mrs Raeanne Eilene Holder allows following entities to bill medicare on her behalf.

Entity Name	Eisenhower Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013981554 PECOS PAC ID: 5890689657 Enrollment ID: O20100506000102

Entity Name	Circe Healthcare Solutions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174155386 PECOS PAC ID: 5890125975 Enrollment ID: O20200414002368

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. Mrs Raeanne Eilene Holder 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
Mrs Raeanne Eilene Holder, NP 40075 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-3945 Ph: (760) 341-3688	Mrs Raeanne Eilene Holder, NP 40075 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-3945 Ph: (760) 341-3688

Reviews and Comments

Nurse Practitioner Nurses in Rancho Mirage, CA

Ervin Xhufka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8542 Fax: 760-837-8543
Cynthia Jovanov, RN, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-773-1885
Richard Pessagno, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8767 Fax: 760-837-8806
Maria Florina Aleth D Mangosing Ignacio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, Rancho Mirage, CA 92270 Phone: 760-837-8535
Jaime Zeledon, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36101 Bob Hope Dr, Suite B-2, Rancho Mirage, CA 92270 Phone: 760-321-1315
Dr. Leesa Simanton Booth, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Calle De Las Rosas, Rancho Mirage, CA 92270 Phone: 760-578-3601
April Marie Lopez, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-346-7655 Fax: 760-346-3037

Mrs Raeanne Eilene Holder, NP - Medicare Nurse Practitioner in Rancho Mirage, CA