Gail Adeline Rosenholm, PNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jamesville, New York. Her current practice location is
6713 Serah Ln, Jamesville, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 380-6195.
Gail Adeline Rosenholm is licensed to practice in New York (license number F406079-01) 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 1063075430.
Provider's Profile
| Full Name | Gail Adeline Rosenholm |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 6713 Serah Ln, Jamesville, 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. |
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NPI Data:
- NPI Number: 1063075430
- Provider Enumeration Date: 04/20/2019
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406378827
- Enrollment ID: I20250314001951
Medical Identifiers
Medical identifiers for Gail Adeline Rosenholm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063075430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 656692 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F406079-01 (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. Gail Adeline Rosenholm allows following entities to bill medicare on her behalf.
| Entity Name | Upstate Cerebral Palsy Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780636506
PECOS PAC ID: 5496734758
Enrollment ID: O20040719001380 |
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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. Gail Adeline Rosenholm 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 |
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Gail Adeline Rosenholm, PNP
6713 Serah Ln,
Jamesville, NY 13078-9690
Ph: (315) 426-3600 | Gail Adeline Rosenholm, PNP
6713 Serah Ln,
Jamesville, NY 13078-9690
Ph: (315) 380-6195 |
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