Katelyn C Holloway, PA-C - Medicare Physician Assistant in Council Bluffs, IA

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Katelyn C Holloway, PA-C is a medicare enrolled "Physician Assistant" in Council Bluffs, Iowa. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Banner Health Physicians West Llc and her current practice location is 800 Mercy Dr, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (855) 524-4001.

Katelyn C Holloway is licensed to practice in Iowa (license number 095411) 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 1427515402.

Contact Information

Katelyn C Holloway, PA-C
800 Mercy Dr,
Council Bluffs, IA 51503-3128
(855) 524-4001
(712) 325-2499

Map and Direction




Provider's Profile

Full NameKatelyn C Holloway
GenderFemale
SpecialityPhysician Assistant
Experience8 Years
Location800 Mercy Dr, Council Bluffs, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katelyn C Holloway graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1427515402
  • Provider Enumeration Date: 02/26/2019
  • Last Update Date: 07/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931449212
  • Enrollment ID: I20220920002596

Medical Identifiers

Medical identifiers for Katelyn C Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427515402NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 095411 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community HospitalTorrington, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Health Physicians West Llc509297886692

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. Katelyn C Holloway allows following entities to bill medicare on her behalf.
Entity NameCommunity Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669410643
PECOS PAC ID: 6608784194
Enrollment ID: O20040127001124
Entity NameBanner Health Physicians West LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063778728
PECOS PAC ID: 5092978866
Enrollment ID: O20120607000123
Entity NameSummit Hospitalist Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356985600
PECOS PAC ID: 8527445824
Enrollment ID: O20220505002316

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. Katelyn C Holloway 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
Katelyn C Holloway, PA-C
800 Mercy Dr,
Council Bluffs, IA 51503-3128

Ph: (855) 524-4001		Katelyn C Holloway, PA-C
800 Mercy Dr,
Council Bluffs, IA 51503-3128

Ph: (855) 524-4001

Reviews and Comments


Physician Assistant Nurses in Council Bluffs, IA

Kayden L Reilly, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503
Phone: 855-524-4001    Fax: 712-325-2499
Leah Abebe, PA
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Practice Location: 902 S 6th St, Council Bluffs, IA 51501
Phone: 712-325-1990    
Isabella Ann Phillips, PA
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Practice Location: 412 Forest Glen Dr, Council Bluffs, IA 51503
Phone: 712-308-4459    
Theresa Macdissi, P.A.-C
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Medicare: May Accept Medicare Assignments
Practice Location: 1 Edmundson Pl Ste 306, Council Bluffs, IA 51503
Phone: 712-396-7787    Fax: 712-396-4115
Sara Rygol, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2201 W Broadway, Suite 9, Council Bluffs, IA 51501
Phone: 712-328-9100    
Joycin Nicole Stonacek,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 800 Mercy Dr Ste 5, Council Bluffs, IA 51503
Phone: 402-717-6870    Fax: 402-717-6874
Mr. Wyatt Allen Schmidt, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 3502 Metro Drive, Suite 200, Council Bluffs, IA 51501
Phone: 712-256-7172    Fax: 712-256-7374

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.