Mariko Holland, NURSE PRACTITIONER in San Rafael, CA

Mariko Holland, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Pediatrics" in San Rafael, California. Her current practice location is 141 Rafael Dr, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (510) 301-9396.

Mariko Holland is licensed to practice in California (license number 22133) 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 1922468479.

Contact Information

	Mariko Holland, NURSE PRACTITIONER
	141 Rafael Dr, San Rafael, CA 94901-2271
	(510) 301-9396
	Not Available

Map and Direction

Provider's Profile

Full Name	Mariko Holland
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	141 Rafael Dr, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922468479
Provider Enumeration Date: 02/26/2016
Last Update Date: 02/26/2016

Medicare PECOS Information:

PECOS PAC ID: 6709175250
Enrollment ID: I20160523001704

Medical Identifiers

Medical identifiers for Mariko Holland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922468479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	22133 (California)	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. Mariko Holland allows following entities to bill medicare on her behalf.

Entity Name	Ucsf Pediatrics Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Dept Of Surgery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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. Mariko Holland 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
Mariko Holland, NURSE PRACTITIONER 141 Rafael Dr, San Rafael, CA 94901-2271 Ph: (510) 301-9396	Mariko Holland, NURSE PRACTITIONER 141 Rafael Dr, San Rafael, CA 94901-2271 Ph: (510) 301-9396

Reviews and Comments

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Mariko Holland, NURSE PRACTITIONER - Medicare Nurse Practitioner in San Rafael, CA