Kurt Adam Holifield, FNP-C in Glendale, AZ - Medicare Nurse Practitioner

Kurt Adam Holifield, FNP-C is a medicare enrolled "Nurse Practitioner" in Glendale, Arizona. His current practice location is 6320 W Union Hills Dr Ste 140, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 347-0844.

Kurt Adam Holifield is licensed to practice in Arizona (license number 288493) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033819461.

Contact Information

	Kurt Adam Holifield, FNP-C
	6320 W Union Hills Dr Ste 140, Glendale, AZ 85308-7172
	(480) 347-0844
	(480) 347-0885

Map and Direction

Provider's Profile

Full Name	Kurt Adam Holifield
Gender	Male
Speciality	Nurse Practitioner
Location	6320 W Union Hills Dr Ste 140, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033819461
Provider Enumeration Date: 03/06/2023
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 0749625325
Enrollment ID: I20240305003590

Medical Identifiers

Medical identifiers for Kurt Adam Holifield such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033819461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	288493 (Arizona)	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. Kurt Adam Holifield allows following entities to bill medicare on his behalf.

Entity Name	Vitality Foot And Ankle Institute Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538798004 PECOS PAC ID: 9739501958 Enrollment ID: O20200617000377

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. Kurt Adam Holifield 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
Kurt Adam Holifield, FNP-C 6320 W Union Hills Dr Ste 140, Glendale, AZ 85308-7172 Ph: (480) 347-0844	Kurt Adam Holifield, FNP-C 6320 W Union Hills Dr Ste 140, Glendale, AZ 85308-7172 Ph: (480) 347-0844

Reviews and Comments

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Kurt Adam Holifield, FNP-C - Medicare Nurse Practitioner in Glendale, AZ