Mrs Holly Brooke Shourd, FNP in Bolivar, TN - Medicare Nurse Practitioner

Mrs Holly Brooke Shourd, FNP is a medicare enrolled "Family Medicine" physician in Bolivar, Tennessee. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is 1359 W Market St., Bolivar, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 361-1003.

Mrs Holly Brooke Shourd is licensed to practice in Tennessee (license number APN0000025929) 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 1598326233.

Contact Information

	Mrs Holly Brooke Shourd, FNP
	1359 W Market St., Bolivar, TN 38008
	(731) 361-1003
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Holly Brooke Shourd
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1359 W Market St., Bolivar, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Holly Brooke Shourd graduated from medical school in 2019

NPI Data:

NPI Number: 1598326233
Provider Enumeration Date: 06/24/2019
Last Update Date: 11/20/2019

Medicare PECOS Information:

PECOS PAC ID: 1052649837
Enrollment ID: I20190819002315

Medical Identifiers

Medical identifiers for Mrs Holly Brooke Shourd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598326233	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	APN0000025929 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fast Pace Medical Clinic Pllc	5395881841	510

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 Holly Brooke Shourd allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112

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 Holly Brooke Shourd 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 Holly Brooke Shourd, FNP 1359 W Market St., Bolivar, TN 38008 Ph: (731) 361-1003	Mrs Holly Brooke Shourd, FNP 1359 W Market St., Bolivar, TN 38008 Ph: (731) 361-1003

Reviews and Comments

Family Medicine Doctors in Bolivar, TN

Dr. Robert Wayne Dunavant, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-7111 Fax: 731-658-4328
Dr. John Lee Blankenship, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079
Dr. Samuel Terry Johnson Jr., M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079
Lawrence Diaz, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079
Olufemi E Soyinka, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079
Dr. Nithyananda Pakkala, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-6011 Fax: 731-658-9884

Mrs Holly Brooke Shourd, FNP - Medicare Nurse Practitioner in Bolivar, TN