Mrs Holly Kaye Roddy, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Canton, Ohio. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cleveland Clinic Mercy Hospital and her current practice location is
1330 Mercy Dr Nw Ste 101, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 588-4676.
Mrs Holly Kaye Roddy is licensed to practice in Ohio (license number APRN.CNP.021895) 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 1396244380.
Physician's Profile
| Full Name | Mrs Holly Kaye Roddy |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1330 Mercy Dr Nw Ste 101, Canton, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Holly Kaye Roddy graduated from medical school in 2017
NPI Data:
- NPI Number: 1396244380
- Provider Enumeration Date: 02/06/2018
- Last Update Date: 01/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688935364
- Enrollment ID: I20180220001363
Medical Identifiers
Medical identifiers for Mrs Holly Kaye Roddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396244380 | NPI | - | NPPES |
| 0262564 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | APRN.CNP.021895 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.021895 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cleveland Clinic Mercy Hospital | 0547156796 | 83 |
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 Kaye Roddy allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Professional Care, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902827876
PECOS PAC ID: 7416857198
Enrollment ID: O20040109000676 |
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| Entity Name | Cleveland Clinic Mercy Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366433195
PECOS PAC ID: 0547156796
Enrollment ID: O20040224001287 |
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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. Mrs Holly Kaye Roddy 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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Mrs Holly Kaye Roddy, NP
1330 Mercy Dr Nw Ste 101,
Canton, OH 44708-2624
Ph: (330) 588-4676 | Mrs Holly Kaye Roddy, NP
1330 Mercy Dr Nw Ste 101,
Canton, OH 44708-2624
Ph: (330) 588-4676 |
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