Dr Jessica Rae Holland, DC is a medicare enrolled "Chiropractor" provider in Lyndora, Pennsylvania. Her current practice location is
6 Chesapeake St Ste 205, Lyndora, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 822-1828.
Dr Jessica Rae Holland is licensed to practice in Pennsylvania (license number DC011693) 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 1821641283.
Healthcare Provider's Profile
| Full Name | Dr Jessica Rae Holland |
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| Gender | Female |
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| Speciality | Chiropractor |
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| Location | 6 Chesapeake St Ste 205, Lyndora, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821641283
- Provider Enumeration Date: 07/24/2019
- Last Update Date: 07/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204210537
- Enrollment ID: I20220905000466
Medical Identifiers
Medical identifiers for Dr Jessica Rae Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821641283 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 038.013390 (Illinois) | Secondary |
| 111N00000X | Chiropractor | DC011693 (Pennsylvania) | 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 Jessica Rae Holland allows following entities to bill medicare on her behalf.
| Provider Name | A Butler Chiropractic, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326630765
PECOS PAC ID: 2365851284
Enrollment ID: O20210505002970 |
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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 Jessica Rae Holland 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 |
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Dr Jessica Rae Holland, DC
6 Chesapeake St Ste 205,
Lyndora, PA 16045-1150
Ph: (172) 482-2182 | Dr Jessica Rae Holland, DC
6 Chesapeake St Ste 205,
Lyndora, PA 16045-1150
Ph: (724) 822-1828 |
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