Justine Holthaus, - Medicare Nurse Practitioner in Middletown, OH

Justine Holthaus, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Middletown, Ohio. Her current practice location is 6147 State Route 122 Ste 200, Middletown, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 490-2090.

Justine Holthaus is licensed to practice in Ohio (license number APRN.CNP.023492) 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 1316412174.

Contact Information

Justine Holthaus,
6147 State Route 122 Ste 200,
Middletown, OH 45005-5201
(937) 490-2090
Not Available

Map and Direction




Provider's Profile

Full NameJustine Holthaus
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6147 State Route 122 Ste 200, Middletown, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316412174
  • Provider Enumeration Date: 10/09/2018
  • Last Update Date: 03/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3971920281
  • Enrollment ID: I20200901003026

Medical Identifiers

Medical identifiers for Justine Holthaus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316412174NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.023492 (Ohio)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. Justine Holthaus allows following entities to bill medicare on her behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NamePsychological & Behavioral Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811915713
PECOS PAC ID: 0446243760
Enrollment ID: O20040405000363
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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. Justine Holthaus 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
Justine Holthaus,
1 Prestige Pl Ste 550,
Miamisburg, OH 45342-6115

Ph: (937) 762-1310
Justine Holthaus,
6147 State Route 122 Ste 200,
Middletown, OH 45005-5201

Ph: (937) 490-2090

Reviews and Comments


Nurse Practitioner Nurses in Middletown, OH

Myra Wright, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Middletown, OH 45005
Phone: 513-705-4754    Fax: 513-420-5156
Mrs. Sara Rose Armentano, APRN
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Practice Location: 6730 Roosevelt Ave Ste 201, Middletown, OH 45005
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Christina Harris, FNP
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Phone: 513-874-0486    
Rebekah Pruett, FNP
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Medicare: Medicare Enrolled
Practice Location: 231 N Breiel Blvd, Middletown, OH 45042
Phone: 513-456-2334    
Mrs. Deborah Ann Turner-johnson, FNP-BC
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Practice Location: 3420 Towne Blvd, Middletown, OH 45005
Phone: 513-741-6924    
Melody Mumbi-chibundi, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6730 Roosevelt Ave Ste 201, Middletown, OH 45005
Phone: 513-279-8035    Fax: 513-318-7386
Natalie Louise Smith, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 Medical Center Dr Ste 375, Middletown, OH 45005
Phone: 513-420-3773    

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.