Mrs Holly Ann Gates, NP in Benton, IL - Medicare Nurse Practitioner

Mrs Holly Ann Gates, NP is a medicare enrolled "Nurse Practitioner" in Benton, Illinois. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shawnee Health Service And Development Corp and her current practice location is 203 Bailey Ln Ste 1, Benton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 438-5670.

Mrs Holly Ann Gates is licensed to practice in Illinois (license number 277001378) 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 1063991206.

Contact Information

	Mrs Holly Ann Gates, NP
	203 Bailey Ln Ste 1, Benton, IL 62812-2266
	(618) 438-5670
	(618) 438-5709

Map and Direction

Provider's Profile

Full Name	Mrs Holly Ann Gates
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	203 Bailey Ln Ste 1, Benton, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Holly Ann Gates graduated from nursing school in 2018

NPI Data:

NPI Number: 1063991206
Provider Enumeration Date: 08/08/2018
Last Update Date: 02/04/2026

Medicare PECOS Information:

PECOS PAC ID: 7618201500
Enrollment ID: I20190626003031

Medical Identifiers

Medical identifiers for Mrs Holly Ann Gates such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063991206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	277001378 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lhc-illinois Home Health Care	Marion, IL	Home health agency
Heartland Regional Medical Center	Marion, IL	Hospital
Southern Illinois Hospital Services Dba Herrin Hospital	Herrin, IL	Hospital
St Joseph Memorial Hospital	Murphysboro, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shawnee Health Service And Development Corp	1658285671	50

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. Mrs Holly Ann Gates allows following entities to bill medicare on her behalf.

Entity Name	Shawnee Health Service And Development Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454

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. Mrs Holly Ann Gates 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
Mrs Holly Ann Gates, NP Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Mrs Holly Ann Gates, NP 203 Bailey Ln Ste 1, Benton, IL 62812-2266 Ph: (618) 438-5670

Reviews and Comments

Nurse Practitioner Nurses in Benton, IL

Ms. Kayla Lorraine Kimmel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-218-3690
Christy K Williams, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 E Smith St Ste B, Benton, IL 62812 Phone: 618-435-9315 Fax: 618-435-9316
Terri Lynn Braddock-hartman, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-435-2969
Natasha Bates, APRN, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 107 E Smith St Ste B, Benton, IL 62812 Phone: 618-435-9315 Fax: 618-435-9316
Jacklyn M Fitzpatrick, GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 E Church St Ste B, Benton, IL 62812 Phone: 618-435-9888 Fax: 618-435-9889
Mrs. Cindy L Lord, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 N Du Quoin St, Benton, IL 62812 Phone: 618-435-5362

Mrs Holly Ann Gates, NP - Medicare Nurse Practitioner in Benton, IL