Ms Holly Lavender, FNP in Perry, GA - Medicare Nurse Practitioner

Ms Holly Lavender, FNP is a medicare enrolled "Nurse Practitioner - Family" in Perry, Georgia. She went to University Of Alabama School Of Dentistry and graduated in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Privia Medical Group Of Georgia Llc and her current practice location is 1016 Keith Dr, Perry, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 988-1515.

Ms Holly Lavender is licensed to practice in Georgia (license number RN184680) 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 1639535628.

Contact Information

	Ms Holly Lavender, FNP
	1016 Keith Dr, Perry, GA 31069
	(478) 988-1515
	(478) 988-1550

Map and Direction

Provider's Profile

Full Name	Ms Holly Lavender
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1016 Keith Dr, Perry, Georgia
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:

Ms Holly Lavender attended and graduated from University Of Alabama School Of Dentistry in 2015

NPI Data:

NPI Number: 1639535628
Provider Enumeration Date: 01/07/2016
Last Update Date: 01/07/2016

Medicare PECOS Information:

PECOS PAC ID: 8527361567
Enrollment ID: I20160125001933

Medical Identifiers

Medical identifiers for Ms Holly Lavender such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639535628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN184680 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Privia Medical Group Of Georgia Llc	4284951542	411

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. Ms Holly Lavender allows following entities to bill medicare on her behalf.

Entity Name	Privia Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983

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. Ms Holly Lavender 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
Ms Holly Lavender, FNP 1016 Keith Dr, Perry, GA 31069 Ph: (478) 988-1515	Ms Holly Lavender, FNP 1016 Keith Dr, Perry, GA 31069 Ph: (478) 988-1515

Reviews and Comments

Nurse Practitioner Nurses in Perry, GA

Krista Lauren Keen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 277 Perry Pkwy Ste C, Perry, GA 31069 Phone: 478-988-6087
Kimberly R Hickman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Keith Dr, Perry, GA 31069 Phone: 478-988-8556
Sarah Coxwell Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 Keith Dr, Perry, GA 31069 Phone: 478-988-1515
Mr. Steven T Heath, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 Sparrow St, Perry, GA 31069 Phone: 478-365-1462
Stacy-lee Meleisia Buchanan-bromley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 W River Cane Run, Perry, GA 31069 Phone: 470-439-1396
Carson Farrell Fay, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 277 Perry Pkwy Ste C, Perry, GA 31069 Phone: 478-988-6087 Fax: 478-988-6092
Semetrius Trussell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Macon Rd Apt 532, Perry, GA 31069 Phone: 478-957-5830

Ms Holly Lavender, FNP - Medicare Nurse Practitioner in Perry, GA