Jessicalee P Hollis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Heuvelton, New York. Her current practice location is
103 Rensselaer St, Heuvelton, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 344-6621.
Jessicalee P Hollis is licensed to practice in New York (license number 341842) 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 1508388901.
Provider's Profile
| Full Name | Jessicalee P Hollis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 103 Rensselaer St, Heuvelton, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508388901
- Provider Enumeration Date: 07/07/2017
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991061038
- Enrollment ID: I20241220002594
Medical Identifiers
Medical identifiers for Jessicalee P Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508388901 | NPI | - | NPPES |
| 04889438 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 341842 (New York) | Primary |
| 363L00000X | Nurse Practitioner | 341842 (New York) | Secondary |
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. Jessicalee P Hollis 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 |
Jessicalee P Hollis, FNP-C 103 Rensselaer St, Heuvelton, NY 13654-3137 Ph: (315) 344-6621 | Jessicalee P Hollis, FNP-C 103 Rensselaer St, Heuvelton, NY 13654-3137 Ph: (315) 344-6621 |
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