Shane Holloway, FNP-C in Columbia, MO - Medicare Nurse Practitioner

Shane Holloway, FNP-C is a medicare enrolled "Nurse Practitioner" in Columbia, Missouri. He graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Renova Medical Center Llc and his current practice location is 1401 Forum Blvd Ste 202, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 234-1367.

Shane Holloway is licensed to practice in Missouri (license number 2016044506) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821534231.

Contact Information

	Shane Holloway, FNP-C
	1401 Forum Blvd Ste 202, Columbia, MO 65203-1915
	(573) 234-1367
	Not Available

Map and Direction

Provider's Profile

Full Name	Shane Holloway
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	1401 Forum Blvd Ste 202, Columbia, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shane Holloway graduated from nursing school in 2016

NPI Data:

NPI Number: 1821534231
Provider Enumeration Date: 01/09/2017
Last Update Date: 12/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2163706649
Enrollment ID: I20170228002548

Medical Identifiers

Medical identifiers for Shane Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821534231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2016044506 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist St Anthony's Hospital	Amarillo, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Renova Medical Center Llc	3577811736	3

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. Shane Holloway allows following entities to bill medicare on his behalf.

Entity Name	Renova Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447741681 PECOS PAC ID: 3577811736 Enrollment ID: O20180803000612

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. Shane Holloway 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
Shane Holloway, FNP-C 1401 Forum Blvd Ste 202, Columbia, MO 65203-1915 Ph: (573) 234-1367	Shane Holloway, FNP-C 1401 Forum Blvd Ste 202, Columbia, MO 65203-1915 Ph: (573) 234-1367

Reviews and Comments

Nurse Practitioner Nurses in Columbia, MO

Diana L Erion, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 E Broadway, Columbia, MO 65201 Phone: 573-875-8838 Fax: 573-875-8589
Jennifer Michelle Kandlik, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-8788 Fax: 573-882-3131
Ms. Lauren Ann Mistler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 Corona Rd Ste 102, Columbia, MO 65203 Phone: 573-234-1800
Sheila Marie Struckmeyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-4400 Fax: 573-884-5994
Lauren Taylor Vollrath, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-499-6041 Fax: 573-499-6091
Emily Barr, APRN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2204 Winchester Dr, Columbia, MO 65202 Phone: 573-303-4406
Janis M Sears, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000

Shane Holloway, FNP-C - Medicare Nurse Practitioner in Columbia, MO