Holly Hollembeak, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Byers, Colorado. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lincoln Community Hospital and her current practice location is
404 E Front St, Byers, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 822-5100.
Holly Hollembeak is licensed to practice in Colorado (license number 0994689) 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 1063071496.
Provider's Profile
| Full Name | Holly Hollembeak |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 404 E Front St, Byers, Colorado |
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| 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 Hollembeak graduated from nursing school in 2019
NPI Data:
- NPI Number: 1063071496
- Provider Enumeration Date: 06/10/2019
- Last Update Date: 03/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729317045
- Enrollment ID: I20190912000959
Medical Identifiers
Medical identifiers for Holly Hollembeak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063071496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 0994689 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lincoln Community Hospital | 8729987219 | 16 |
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 Hollembeak allows following entities to bill medicare on her behalf.
| Entity Name | Lincoln Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720107519 PECOS PAC ID: 8729987219 Enrollment ID: O20161208000347 |
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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. Holly Hollembeak 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 Hollembeak, NURSE PRACTITIONER Po Box 248, Hugo, CO 80821-0248 Ph: (719) 743-2421 | Holly Hollembeak, NURSE PRACTITIONER 404 E Front St, Byers, CO 80103-9727 Ph: (303) 822-5100 |
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