Amy Southern Holt, CRNP in Florence, AL - Medicare Nurse Practitioner

Amy Southern Holt, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Florence, Alabama. She went to University Of Alabama School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Helen Keller Specialty Care and her current practice location is 1751 Veterans Dr Ste 125, Florence, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 766-0150.

Amy Southern Holt is licensed to practice in Alabama (license number 1-121793) 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 1790326247.

Contact Information

	Amy Southern Holt, CRNP
	1751 Veterans Dr Ste 125, Florence, AL 35630-4932
	(256) 766-0150
	(256) 764-4638

Map and Direction

Provider's Profile

Full Name	Amy Southern Holt
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1751 Veterans Dr Ste 125, Florence, Alabama
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:

Amy Southern Holt attended and graduated from University Of Alabama School Of Medicine in 2019

NPI Data:

NPI Number: 1790326247
Provider Enumeration Date: 10/07/2019
Last Update Date: 10/07/2019

Medicare PECOS Information:

PECOS PAC ID: 1355774852
Enrollment ID: I20191212002895

Medical Identifiers

Medical identifiers for Amy Southern Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790326247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-121793 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Helen Keller Hospital	Sheffield, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Helen Keller Specialty Care	9335676402	14

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. Amy Southern Holt allows following entities to bill medicare on her behalf.

Entity Name	Tennessee Valley Surgery Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356309652 PECOS PAC ID: 2163449901 Enrollment ID: O20051031000722

Entity Name	Nw Alabama Practice Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083937452 PECOS PAC ID: 1951434539 Enrollment ID: O20100803000717

Entity Name	Ecm Health Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346588852 PECOS PAC ID: 9436395225 Enrollment ID: O20130424000304

Entity Name	Helen Keller Specialty Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609696079 PECOS PAC ID: 9335676402 Enrollment ID: O20241231002995

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. Amy Southern Holt 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
Amy Southern Holt, CRNP 234 Oak Brook Dr, Florence, AL 35630-6632 Ph: () -	Amy Southern Holt, CRNP 1751 Veterans Dr Ste 125, Florence, AL 35630-4932 Ph: (256) 766-0150

Reviews and Comments

Nurse Practitioner Nurses in Florence, AL

Kendra L Brown, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2612 Hough Rd, Florence, AL 35630 Phone: 256-275-3724 Fax: 877-441-0602
Ruthann Allison, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1609 Mockingbird Ct Ste B, Florence, AL 35630 Phone: 256-320-7781
Jessi Blackstock Tidwell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2904 Mall Rd, Florence, AL 35630 Phone: 256-768-5350 Fax: 949-695-4340
Cameron Patrick Henderson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 Veterans Dr, Florence, AL 35630 Phone: 256-629-1000
Mrs. April Michelle Brooks, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 541 W. College St, 2400, Florence, AL 35630 Phone: 256-767-0081 Fax: 256-767-3077
Brittany Churchwell Gifford, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 W College St Ste 2400, Florence, AL 35630 Phone: 256-980-6999
Abbey Robinson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2129 Helton Dr, Florence, AL 35630 Phone: 256-367-4916 Fax: 256-760-3145

Amy Southern Holt, CRNP - Medicare Nurse Practitioner in Florence, AL