Erica E De Santos, APRN - Medicare Nurse Practitioner in Hollis, OK

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Erica E De Santos, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Hollis, Oklahoma. Her current practice location is 400 E Sycamore St, Hollis, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 688-2800.

Erica E De Santos is licensed to practice in Oklahoma (license number 103519) 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 1396355350.

Contact Information

Erica E De Santos, APRN
400 E Sycamore St,
Hollis, OK 73550-1436
(580) 688-2800
(580) 688-2193

Map and Direction




Provider's Profile

Full NameErica E De Santos
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location400 E Sycamore St, Hollis, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396355350
  • Provider Enumeration Date: 08/05/2020
  • Last Update Date: 12/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931526100
  • Enrollment ID: I20200902001560

Medical Identifiers

Medical identifiers for Erica E De Santos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396355350NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 103519 (Oklahoma)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. Erica E De Santos allows following entities to bill medicare on her behalf.
Entity NameAltus Premier Health Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528408523
PECOS PAC ID: 9335448752
Enrollment ID: O20160505001401

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. Erica E De Santos 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
Erica E De Santos, APRN
400 E Sycamore St,
Hollis, OK 73550-1436

Ph: (580) 688-2800		Erica E De Santos, APRN
400 E Sycamore St,
Hollis, OK 73550-1436

Ph: (580) 688-2800

Reviews and Comments


Nurse Practitioner Nurses in Hollis, OK

Kimberly Yvette Hestand, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 400 E Sycamore St, Hollis, OK 73550
Phone: 580-688-2800    Fax: 580-688-2193
Amy Michelle Tillman, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 920 N 8th, Hollis, OK 73550
Phone: 580-688-2200    Fax: 580-688-2229
Beverly Cooper, FNPC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 920 N 8th St, Hollis, OK 73550
Phone: 580-688-2200    Fax: 580-688-2229

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.