Holly Marini, APRN, LADC, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Milford, Connecticut. She graduated from healthcare school in 1996 and has 28 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Key Therapy Llc and her current practice location is
949 Bridgeport Ave, Milford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 878-6365.
Holly Marini is licensed to practice in Connecticut (license number 001492) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1073531927.
Healthcare Provider's Profile
| Full Name | Holly Marini |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 28 Years |
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| Location | 949 Bridgeport Ave, Milford, Connecticut |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Holly Marini graduated from medical school in 1996
NPI Data:
- NPI Number: 1073531927
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 10/13/2010
Medicare PECOS Information:
- PECOS PAC ID: 4981674926
- Enrollment ID: I20040728000560
Medical Identifiers
Medical identifiers for Holly Marini such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073531927 | NPI | - | NPPES |
| 400001492CT03 | Other | CT | ANTHEM |
| 311160 | Other | | HEALTHNET/MHN |
| 004039244 | Medicaid | CT | |
| 000254423 | Other | CT | UNITED BEHAVIORAL HEALTH |
| P00098065 | Other | CT | RAILROAD MEDICARE |
| 235142 | Other | CT | COMPSYCH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000579 (Connecticut) | Secondary |
| 163W00000X | Registered Nurse | R29021 (Connecticut) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 001492 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Key Therapy Llc | 6204185010 | 5 |
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. Holly Marini allows following entities to bill medicare on her behalf.
| Entity Name | Key Therapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114393493
PECOS PAC ID: 6204185010
Enrollment ID: O20180827003149 |
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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. Holly Marini 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 |
|---|
Holly Marini, APRN, LADC, RN
949 Bridgeport Ave,
Milford, CT 06460-3142
Ph: (203) 878-6365 | Holly Marini, APRN, LADC, RN
949 Bridgeport Ave,
Milford, CT 06460-3142
Ph: (203) 878-6365 |
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