Richard Holligan, RN in Bayville, NJ - Medicare Nurse Practitioner

Richard Holligan, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bayville, New Jersey. His current practice location is 6 Symphony Ave, Bayville, New Jersey. You can reach out to his office (for appointments etc.) via phone at (702) 338-8772.

Richard Holligan is licensed to practice in New Jersey (license number 26NJ15088000) 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 1417253519.

Contact Information

	Richard Holligan, RN
	6 Symphony Ave, Bayville, NJ 08721-1955
	(702) 338-8772
	Not Available

Map and Direction

Provider's Profile

Full Name	Richard Holligan
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6 Symphony Ave, Bayville, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417253519
Provider Enumeration Date: 02/07/2011
Last Update Date: 03/18/2025

Medicare PECOS Information:

PECOS PAC ID: 6800059585
Enrollment ID: I20250209000006

Medical Identifiers

Medical identifiers for Richard Holligan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417253519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0400X	Registered Nurse - Case Management	RN50008 (Nevada)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ15088000 (New Jersey)	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. Richard Holligan allows following entities to bill medicare on his behalf.

Entity Name	Counseling Center At Clark Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245637578 PECOS PAC ID: 3971990144 Enrollment ID: O20220419000848

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. Richard Holligan 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
Richard Holligan, RN 6 Symphony Ave, Bayville, NJ 08721-1955 Ph: (702) 338-8772	Richard Holligan, RN 6 Symphony Ave, Bayville, NJ 08721-1955 Ph: (702) 338-8772

Reviews and Comments

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Richard Holligan, RN - Medicare Nurse Practitioner in Bayville, NJ