Ms Marybeth Holak, ARNP in New Haven, CT - Medicare Nurse Practitioner

Ms Marybeth Holak, ARNP is a medicare enrolled "Nurse Practitioner - Family" in New Haven, Connecticut. She graduated from nursing school in 1995 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cornell Scott Hill Health Corporation and her current practice location is 428 Columbus Avenue, Dermatology, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 503-3000.

Ms Marybeth Holak is licensed to practice in Connecticut (license number 6944) 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 1518067230.

Contact Information

	Ms Marybeth Holak, ARNP
	428 Columbus Avenue, Dermatology, New Haven, CT 06519-1233
	(203) 503-3000
	(203) 503-3224

Map and Direction

Provider's Profile

Full Name	Ms Marybeth Holak
Gender	Female
Speciality	Nurse Practitioner
Experience	30 Years
Location	428 Columbus Avenue, New Haven, Connecticut
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 Marybeth Holak graduated from nursing school in 1995

NPI Data:

NPI Number: 1518067230
Provider Enumeration Date: 09/23/2006
Last Update Date: 10/30/2020

Medicare PECOS Information:

PECOS PAC ID: 7012953557
Enrollment ID: I20170602002174

Medical Identifiers

Medical identifiers for Ms Marybeth Holak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518067230	NPI	-	NPPES
P61979	Other	NH	ANTHEM BCBS
008075168	Medicaid	CT
P00067536	Other	NH	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	6944 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cornell Scott Hill Health Corporation	3072418359	238

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 Marybeth Holak allows following entities to bill medicare on her behalf.

Entity Name	Cornell Scott Hill Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902921380 PECOS PAC ID: 3072418359 Enrollment ID: O20031201000145

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 Marybeth Holak 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 Marybeth Holak, ARNP 400 Columbus Avenue, Credentialing Specialist, New Haven, CT 06519-1233 Ph: (203) 503-3000	Ms Marybeth Holak, ARNP 428 Columbus Avenue, Dermatology, New Haven, CT 06519-1233 Ph: (203) 503-3000

Reviews and Comments

Nurse Practitioner Nurses in New Haven, CT

Audrey P Senior, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-5860 Fax: 203-688-7533
Ashley Antonucci, DNP- FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-688-8800
Bailey Daum, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Trumbull St, New Haven, CT 06510 Phone: 646-270-4857
Kentrone Vines, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242
Mrs. Lisa Jane Warren, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-7952
Mrs. Rocca L Perruccio, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 428 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3000 Fax: 203-503-3224
Alexa Blood, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Howard Ave, New Haven, CT 06519 Phone: 203-785-2565

Ms Marybeth Holak, ARNP - Medicare Nurse Practitioner in New Haven, CT