Glen A Holley, PA - Medicare Physician Assistant in Ramsey, NJ

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Glen A Holley, PA is a medicare enrolled "Physician Assistant" in Ramsey, New Jersey. His current practice location is 171 Lake St, Ramsey, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 785-0011.

Glen A Holley is licensed to practice in New Jersey (license number 25MP00148700) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891889705.

Contact Information

Glen A Holley, PA
171 Lake St,
Ramsey, NJ 07446-2089
(201) 785-0011
Not Available

Map and Direction




Provider's Profile

Full NameGlen A Holley
GenderMale
SpecialityPhysician Assistant
Location171 Lake St, Ramsey, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891889705
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 12/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9638198948
  • Enrollment ID: I20051116000399

Medical Identifiers

Medical identifiers for Glen A Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891889705NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 25MP00148700 (New Jersey)Primary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary

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. Glen A Holley allows following entities to bill medicare on his behalf.
Entity NamePrompt MD LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205073079
PECOS PAC ID: 9739236779
Enrollment ID: O20090409000246
Entity NameAdam Alex LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215346218
PECOS PAC ID: 3274859376
Enrollment ID: O20150309001553
Entity NameDispatch Health Medical PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447716873
PECOS PAC ID: 9436490562
Enrollment ID: O20190417002629

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. Glen A Holley 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
Glen A Holley, PA
171 Lake St,
Ramsey, NJ 07446-2089

Ph: (201) 785-0011		Glen A Holley, PA
171 Lake St,
Ramsey, NJ 07446-2089

Ph: (201) 785-0011

Reviews and Comments


Physician Assistant Nurses in Ramsey, NJ

Ms. Tamara Ann Bulleri, PSYCHIATRIC P.A.-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 545 Island Rd Ste 2b&3d, Ramsey, NJ 07446
Phone: 201-995-1004    
Kathryn Rose Vesperman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30 School St, Ramsey, NJ 07446
Phone: 201-739-9591    
Ms. Alana Nicole Dolcemascolo,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2 Larch Ave, Ramsey, NJ 07446
Phone: 201-783-7433    
Ann Marie Abadeer, PA-C, MHS
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 37 New England Dr, Ramsey, NJ 07446
Phone: 201-236-8498    
Mary Tubach, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 295 N Franklin Tpke, Ramsey, NJ 07446
Phone: 551-497-5679    Fax: 551-497-5680
George Eskandar, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 545 Island Rd Ste 2b, Ramsey, NJ 07446
Phone: 201-995-1004    Fax: 201-345-7121
Vanessa Nicole Canosa, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 171 Lake St, Ramsey, NJ 07446
Phone: 201-785-0011    

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.