Chase Holtman, - Medicare Nurse Practitioner in Havana, IL

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Chase Holtman, is a medicare enrolled "Nurse Practitioner - Family" in Havana, Illinois. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mason Hospital District, Osf Multi-specialty Group and his current practice location is 615 N Promenade St, Havana, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 543-6600.

Chase Holtman is licensed to practice in Illinois (license number 209.016758) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912418799.

Contact Information

Chase Holtman,
615 N Promenade St,
Havana, IL 62644-1243
(309) 543-6600
(309) 543-2089

Map and Direction




Provider's Profile

Full NameChase Holtman
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location615 N Promenade St, Havana, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Chase Holtman graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1912418799
  • Provider Enumeration Date: 10/19/2017
  • Last Update Date: 10/19/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6608136007
  • Enrollment ID: I20180202001873

Medical Identifiers

Medical identifiers for Chase Holtman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912418799NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.016758 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mason Hospital District246636060737
Osf Multi-specialty Group36788897891848

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. Chase Holtman allows following entities to bill medicare on his behalf.
Entity NameMason Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902849649
PECOS PAC ID: 2466360607
Enrollment ID: O20040412000399
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Chase Holtman 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
Chase Holtman,
615 N Promenade St,
Havana, IL 62644-1243

Ph: (309) 543-6600		Chase Holtman,
615 N Promenade St,
Havana, IL 62644-1243

Ph: (309) 543-6600

Reviews and Comments


Nurse Practitioner Nurses in Havana, IL

Ashley Marmon, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12528 Sr 78, Havana, IL 62644
Phone: 309-543-4253    Fax: 309-543-1060
Kali Troxell, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    
Marsha R Kirchner, CF-NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    Fax: 309-543-2089
Rachel Lynn Davenport, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    Fax: 866-950-0270
Kaitlyn Lee Fields, WHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    
Jenna Elizabeth Ishmael, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    

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.