Casey Lee Holtslander, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Cincinnatus, New York. Her current practice location is
2805 Cincinnatus Rd, Cincinnatus, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 863-4126.
Casey Lee Holtslander is licensed to practice in New York (license number F348074-01) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780352609.
Provider's Profile
| Full Name | Casey Lee Holtslander |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2805 Cincinnatus Rd, Cincinnatus, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780352609
- Provider Enumeration Date: 09/03/2021
- Last Update Date: 11/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507255577
- Enrollment ID: I20211112000371
Medical Identifiers
Medical identifiers for Casey Lee Holtslander such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780352609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | F348074-01 (New York) | Primary |
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. Casey Lee Holtslander allows following entities to bill medicare on her behalf.
| Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
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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. Casey Lee Holtslander 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 |
Casey Lee Holtslander, FNP-C 85 S West St, Homer, NY 13077-1542 Ph: (607) 753-3797 | Casey Lee Holtslander, FNP-C 2805 Cincinnatus Rd, Cincinnatus, NY 13040-1304 Ph: (607) 863-4126 |
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