Charlotte Louise Von Holleben, APRN - Medicare Nurse Practitioner in Safety Harbor, FL

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Charlotte Louise Von Holleben, APRN is a medicare enrolled "Nurse Practitioner" in Safety Harbor, Florida. Her current practice location is 3231 Mcmullen Booth Rd, Safety Harbor, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 725-6863.

Charlotte Louise Von Holleben is licensed to practice in Florida (license number 11028799) 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 1013796432.

Contact Information

Charlotte Louise Von Holleben, APRN
3231 Mcmullen Booth Rd,
Safety Harbor, FL 34695-6607
(727) 725-6863
(727) 725-6734

Map and Direction




Provider's Profile

Full NameCharlotte Louise Von Holleben
GenderFemale
SpecialityNurse Practitioner
Location3231 Mcmullen Booth Rd, Safety Harbor, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013796432
  • Provider Enumeration Date: 09/25/2023
  • Last Update Date: 09/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850830035
  • Enrollment ID: I20240902000511

Medical Identifiers

Medical identifiers for Charlotte Louise Von Holleben such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013796432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 11028799 (Florida)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. Charlotte Louise Von Holleben allows following entities to bill medicare on her behalf.
Entity NameBaycare Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043269871
PECOS PAC ID: 6406753623
Enrollment ID: O20031216000718

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. Charlotte Louise Von Holleben 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 AddressPractice Location Address
Charlotte Louise Von Holleben, APRN
1220 Greybrooke Pl,
Oldsmar, FL 34677-5115

Ph: (727) 412-4916		Charlotte Louise Von Holleben, APRN
3231 Mcmullen Booth Rd,
Safety Harbor, FL 34695-6607

Ph: (727) 725-6863

Reviews and Comments


Nurse Practitioner Nurses in Safety Harbor, FL

Gillian Leeder, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1840 Mease Dr Ste 300, Safety Harbor, FL 34695
Phone: 727-785-6011    Fax: 877-331-6124
Danielle Konrad, APRN-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1840 Mease Dr Ste 402, Safety Harbor, FL 34695
Phone: 727-330-7652    
Lena Marie Willis, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 915 Harbor Hill Dr, Safety Harbor, FL 34695
Phone: 727-902-0205    
Stephanos Nicholas Tsongranis, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695
Phone: 727-487-4189    
Lisa Marie Lauderdale, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1840 Mease Dr, Suite 402, Safety Harbor, FL 34695
Phone: 727-330-7652    
Staci Nicole Rosen, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1840 Mease Dr Ste 202, Safety Harbor, FL 34695
Phone: 727-725-6246    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.