Holly Anne Burnam, in South Lake Tahoe, CA - Medicare Nurse Practitioner

Holly Anne Burnam, is a medicare enrolled "Nurse Practitioner - Family" in South Lake Tahoe, California. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Barton Healthcare System, Barton Medical Foundation, Barton Medical Foundation and her current practice location is 2170 South Ave, South Lake Tahoe, California. You can reach out to her office (for appointments etc.) via phone at (530) 541-3420.

Holly Anne Burnam is licensed to practice in California (license number 95012441) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487201091.

Contact Information

	Holly Anne Burnam,
	2170 South Ave, South Lake Tahoe, CA 96150-7008
	(530) 541-3420
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly Anne Burnam
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2170 South Ave, South Lake Tahoe, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holly Anne Burnam graduated from nursing school in 2019

NPI Data:

NPI Number: 1487201091
Provider Enumeration Date: 08/20/2019
Last Update Date: 09/08/2020

Medicare PECOS Information:

PECOS PAC ID: 9537594973
Enrollment ID: I20200114000498

Medical Identifiers

Medical identifiers for Holly Anne Burnam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487201091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	766953 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95012441 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Barton Memorial Hospital	South lake tahoe, CA	Hospital
Carson Valley Medical Center	Gardnerville, NV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Barton Healthcare System	1850293960	20
Barton Medical Foundation	5395127682	64
Barton Medical Foundation	5395127682	64

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. Holly Anne Burnam allows following entities to bill medicare on her behalf.

Entity Name	Tahoe Carson Valley Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834

Entity Name	Barton Healthcare System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235196015 PECOS PAC ID: 1850293960 Enrollment ID: O20040915000806

Entity Name	Barton Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208

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. Holly Anne Burnam 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
Holly Anne Burnam, 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 543-5497	Holly Anne Burnam, 2170 South Ave, South Lake Tahoe, CA 96150-7008 Ph: (530) 541-3420

Reviews and Comments

Nurse Practitioner Nurses in South Lake Tahoe, CA

Amy Pittlick Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-539-6620 Fax: 530-539-6617
Christine Jo Cifelli, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5660 Fax: 530-542-1619
Molly Dowd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Ms. Patience Wenck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1154 Emerald Bay Rd, South Lake Tahoe, CA 96150 Phone: 530-542-4961 Fax: 530-542-4964
Candice Lauren Raynor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5497 Fax: 530-541-8683
Anna Marie Petersen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623
John Tyler Eichenberger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2074 Lake Tahoe Blvd Ste 5, South Lake Tahoe, CA 96150 Phone: 925-822-4292

Holly Anne Burnam, - Medicare Nurse Practitioner in South Lake Tahoe, CA