Holden Andrade, in Harvey, IL - Medicare Nurse Practitioner

Holden Andrade, is a medicare enrolled "Nurse Practitioner - Family" in Harvey, Illinois. His current practice location is 1 Ingalls Dr, Harvey, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 331-7800.

Holden Andrade is licensed to practice in Illinois (license number 209026472) 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 1336850775.

Contact Information

	Holden Andrade,
	1 Ingalls Dr, Harvey, IL 60426-3558
	(708) 331-7800
	Not Available

Map and Direction

Provider's Profile

Full Name	Holden Andrade
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1 Ingalls Dr, Harvey, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336850775
Provider Enumeration Date: 12/07/2022
Last Update Date: 02/05/2023

Medicare PECOS Information:

PECOS PAC ID: 7810358371
Enrollment ID: I20230731002231

Medical Identifiers

Medical identifiers for Holden Andrade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336850775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209026472 (Illinois)	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. Holden Andrade allows following entities to bill medicare on his behalf.

Entity Name	Specialists In Medical Imaging Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20150626000251

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. Holden Andrade 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
Holden Andrade, 1 Ingalls Dr, Harvey, IL 60426-3558 Ph: () -	Holden Andrade, 1 Ingalls Dr, Harvey, IL 60426-3558 Ph: (708) 331-7800

Reviews and Comments

Nurse Practitioner Nurses in Harvey, IL

Miss Maira Ochoa, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518
Yvette M. Johnson, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 W. 155th Street, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-339-3583
Dominique K Craver, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-332-2300
Reda Kubilius, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-915-9250
Emily Tyl, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 855-826-3878
Donna J. Calvin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518
Shane Exner, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-915-5441

Holden Andrade, - Medicare Nurse Practitioner in Harvey, IL