Holly Marie Hendershot, APRN - Medicare Nurse Practitioner in Warren, MI

  1. Home
  2. Nurse Practitioner
  3. MI
  4. Warren
Holly Marie Hendershot, APRN is a medicare enrolled "Nurse Practitioner - Family" in Warren, Michigan. Her current practice location is 28800 Ryan Rd Ste 320, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (877) 906-9699.

Holly Marie Hendershot is licensed to practice in Michigan (license number 4704287330) 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 1083366397.

Contact Information

Holly Marie Hendershot, APRN
28800 Ryan Rd Ste 320,
Warren, MI 48092-4272
(877) 906-9699
(866) 227-7418

Map and Direction




Provider's Profile

Full NameHolly Marie Hendershot
GenderFemale
SpecialityNurse Practitioner - Family
Location28800 Ryan Rd Ste 320, Warren, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083366397
  • Provider Enumeration Date: 01/19/2022
  • Last Update Date: 11/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406224906
  • Enrollment ID: I20221114002792

Medical Identifiers

Medical identifiers for Holly Marie Hendershot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083366397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704287330 (Michigan)Secondary
363LF0000XNurse Practitioner - Family 4704287330 (Michigan)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. Holly Marie Hendershot allows following entities to bill medicare on her behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336153295
PECOS PAC ID: 9234041948
Enrollment ID: O20031103000102
Entity NameBehavioral Care Solutions For Adults And Seniors Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154727147
PECOS PAC ID: 4880918051
Enrollment ID: O20150116000266

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 Marie Hendershot 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
Holly Marie Hendershot, APRN
613 Brown St,
Saint Clair, MI 48079-4891

Ph: (810) 887-7858		Holly Marie Hendershot, APRN
28800 Ryan Rd Ste 320,
Warren, MI 48092-4272

Ph: (877) 906-9699

Reviews and Comments


Nurse Practitioner Nurses in Warren, MI

Lauren Koenig, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091
Phone: 313-416-6262    
Rowena Callo Teodoro, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27560 Hoover Rd., Warren, MI 48093
Phone: 586-757-6400    Fax: 586-757-8400
Mrs. Lauren Ashley Zipay, AGACNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093
Phone: 586-573-5000    
Li Song, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 29245 Ryan Rd Ste 300, Warren, MI 48092
Phone: 586-578-0222    
Alexander Cole-selvaggio, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 27101 Schoenherr Rd, Warren, MI 48088
Phone: 586-758-5800    Fax: 586-758-5841
Jenny Dessinger, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 27560 Hoover Rd, Warren, MI 48093
Phone: 586-757-6400    
Randon Carl Jenkins,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091
Phone: 313-416-6262    

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.