Andria Holmes Holt, RN in Salt Lake City, UT - Medicare Nurse Practitioner

Andria Holmes Holt, RN is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Salt Lake City, Utah. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Utah Specialty Services and her current practice location is 30 N 1900 E, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-7647.

Andria Holmes Holt is licensed to practice in Utah (license number 4924227-4405) 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 1023500188.

Contact Information

	Andria Holmes Holt, RN
	30 N 1900 E, Salt Lake City, UT 84132
	(801) 581-7647
	Not Available

Map and Direction

Provider's Profile

Full Name	Andria Holmes Holt
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	30 N 1900 E, Salt Lake City, Utah
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:

Andria Holmes Holt graduated from nursing school in 2018

NPI Data:

NPI Number: 1023500188
Provider Enumeration Date: 06/05/2018
Last Update Date: 11/04/2021

Medicare PECOS Information:

PECOS PAC ID: 1557612058
Enrollment ID: I20180921002793

Medical Identifiers

Medical identifiers for Andria Holmes Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023500188	NPI	-	NPPES
4924227-3102	Other	UT	DOPL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WX0002X	Registered Nurse - Obstetric, High-risk	4924227-3102 (Utah)	Secondary
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	4924227-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Specialty Services	2961726831	75

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. Andria Holmes Holt allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043614811 PECOS PAC ID: 2961726831 Enrollment ID: O20150123002141

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Andria Holmes 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
Andria Holmes Holt, RN 8916 S Flatiron Dr, Sandy, UT 84093-1704 Ph: (801) 560-5480	Andria Holmes Holt, RN 30 N 1900 E, Salt Lake City, UT 84132 Ph: (801) 581-7647

Reviews and Comments

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Andria Holmes Holt, RN - Medicare Nurse Practitioner in Salt Lake City, UT